Opposing forces of cardiogenic shock: left ventricular outflow obstruction, severe mitral regurgitation, and left ventricular dysfunction in Takotsubo cardiomyopathy

Opposing forces of cardiogenic shock: left ventricular outflow obstruction, severe mitral regurgitation, and left ventricular dysfunction in Takotsubo cardiomyopathy

Rates of stress (Takotsubo) cardiomyopathy have increased during the coronavirus pandemic due to social stressors, even in patients who are not infected with the virus. At times, Takotsubo cardiomyopathy (TC) may present as cardiogenic shock. Herein, we present a case during the pandemic of shock fr...

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Bibliographic Details
Published in:ESC Heart Failure Vol. 9; no. 4; pp. 2719 - 2723
Main Authors: Methvin, Laura, Liu, Spencer D., Dodge, Shayne E., Gilstrap, Lauren G.
Format: Journal Article
Language:English
Published: England John Wiley & Sons, Inc 01-08-2022
John Wiley and Sons Inc
Wiley
Subjects:
Cardiogenic
Cardiomyopathy
Case Report
Case Reports
Catheters
Cocaine
Coronary vessels
Coronaviruses
Hemodynamics
Mitral regurgitation
Physiology
Pulmonary arteries
Shock
Takotsubo
Ultrasonic imaging
Veins & arteries
Shock
Mitral regurgitation
Takotsubo
Cardiogenic
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Description
Summary:Rates of stress (Takotsubo) cardiomyopathy have increased during the coronavirus pandemic due to social stressors, even in patients who are not infected with the virus. At times, Takotsubo cardiomyopathy (TC) may present as cardiogenic shock. Herein, we present a case during the pandemic of shock from TC secondary to left ventricular outflow tract obstruction (LVOTO), mitral regurgitation (MR), and left ventricular (LV) dysfunction. The contrasting management strategy of LVOTO, MR, and LV failure was cause for clinical challenge, and we highlight the balance of treating these opposing forces.
ISSN:2055-5822
2055-5822
DOI:10.1002/ehf2.13936