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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| Published in: | ESC Heart Failure Vol. 9; no. 4; pp. 2719 - 2723 |
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| Main Authors: | , , , |
| Format: | Journal Article |
| Language: | English |
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England
John Wiley & Sons, Inc
01-08-2022
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| Abstract | 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. |
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| AbstractList | 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. Abstract 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. |
| Author | Methvin, Laura Gilstrap, Lauren G. Dodge, Shayne E. Liu, Spencer D. |
| AuthorAffiliation | 1 Heart and Vascular Center, Dartmouth‐Hitchcock Medical Center Lebanon NH USA |
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| Author_xml | – sequence: 1 givenname: Laura surname: Methvin fullname: Methvin, Laura – sequence: 2 givenname: Spencer D. surname: Liu fullname: Liu, Spencer D. – sequence: 3 givenname: Shayne E. surname: Dodge fullname: Dodge, Shayne E. – sequence: 4 givenname: Lauren G. orcidid: 0000-0002-5716-8176 surname: Gilstrap fullname: Gilstrap, Lauren G. email: lauren.g.gilstrap@dartmouth.edu |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/35521673$$D View this record in MEDLINE/PubMed |
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| Cites_doi | 10.1056/NEJMoa1406761 10.1001/archinternmed.2010.115 10.1016/j.jacc.2009.08.057 10.1136/bcr-2020-240010 10.1016/j.amjcard.2020.09.014 10.1016/j.ijcard.2018.08.058 |
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| Copyright | 2022 The Authors. published by John Wiley & Sons Ltd on behalf of European Society of Cardiology. 2022 The Authors. ESC Heart Failure published by John Wiley & Sons Ltd on behalf of European Society of Cardiology. 2022. This work is published under http://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. |
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| References | 2021; 14 2010; 55 2010; 170 2020; 136 2011; 4 2019; 277 2015; 373 Izkumo M (e_1_2_5_5_1) 2011; 4 e_1_2_5_8_1 e_1_2_5_7_1 e_1_2_5_6_1 e_1_2_5_4_1 e_1_2_5_3_1 e_1_2_5_2_1 |
| References_xml | – volume: 373 start-page: 929 year: 2015 end-page: 938 article-title: Clinical features and outcomes of Takotsubo (stress) cardiomyopathy publication-title: N Engl J Med. – volume: 136 start-page: 24 year: 2020 end-page: 31 article-title: Comparison of Outcomes in Patients With Takotsubo Syndrome With vs Without Cardiogenic Shock publication-title: Am J Cardiol. – volume: 170 start-page: 874 year: 2010 end-page: 879 article-title: Beta‐blockers for chest pain associated with recent cocaine use publication-title: Arch Intern Med. – volume: 55 start-page: 333 year: 2010 end-page: 341 article-title: Natural history and expansive clinical profile of stress (tako‐tsubo) cardiomyopathy publication-title: J Am Coll Cardiol. – volume: 277 start-page: 153 year: 2019 end-page: 158 article-title: Clinical outcomes of Β‐blocker therapy in cocaine‐associated heart failure publication-title: Int J Cardiol. – volume: 4 start-page: 392 year: 2011 end-page: 398 article-title: Mechanisms of Acute Mitral Regurgitation in Patients With Takotsubo Cardiomyopathy: An Echocardiographic Study publication-title: Circulation. – volume: 14 year: 2021 article-title: Dynamic left ventricular outflow tract obstruction in Takotsubo cardiomyopathy resulting in cardiogenic shock publication-title: BMJ Case Rep. – ident: e_1_2_5_2_1 doi: 10.1056/NEJMoa1406761 – ident: e_1_2_5_7_1 doi: 10.1001/archinternmed.2010.115 – ident: e_1_2_5_4_1 doi: 10.1016/j.jacc.2009.08.057 – volume: 4 start-page: 392 year: 2011 ident: e_1_2_5_5_1 article-title: Mechanisms of Acute Mitral Regurgitation in Patients With Takotsubo Cardiomyopathy: An Echocardiographic Study publication-title: Circulation. contributor: fullname: Izkumo M – ident: e_1_2_5_6_1 doi: 10.1136/bcr-2020-240010 – ident: e_1_2_5_3_1 doi: 10.1016/j.amjcard.2020.09.014 – ident: e_1_2_5_8_1 doi: 10.1016/j.ijcard.2018.08.058 |
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| Title | Opposing forces of cardiogenic shock: left ventricular outflow obstruction, severe mitral regurgitation, and left ventricular dysfunction in Takotsubo cardiomyopathy |
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