A handicap in Takotsubo cardiomyopathy:dynamic outflow obstruction

Türk Kardiyoloji Derneği Arşivi

Özlem Yıldırımtürk¹  Ayça Gümüşdağ¹  Veysel Ozan Tanık¹  Muhammed Keskin¹ 

[1] Department of Cardiology, Dr. Siyami Ersek Cardiovascular and Thoracic Surgery Training and Research Hospital, İstanbul, Turkey;

关键词: beta-blocker treatment;    echocardiography;    inotropic agents;    outflow obstruction;    takotsubo cardiomyopathy;   

DOI  :  10.5543/tkda.2015.32762

来源: DOAJ

【 摘 要 】

Takotsubo cardiomyopathy (TCM) is an unusual form of acute cardiomyopathy showing left ventricular apical ballooning. Patients with hypotension should undergo urgent echocardiography to determine if left ventricular outflow tract (LVOT) obstruction is present. This complication has been described in 10–25% of all TCM patients. That some patients do not survive an acute TCM event underscores the importance of prompt recognition and targeted management of dynamic LVOT obstruction. Described in the present report is the case of a TCM patient with cardiogenic shock, the hemodynamics of which worsened after inotropic agents were administered, alleviated after serum fluid and beta-blocker treatment.

【 授权许可】

Unknown