Opposing forces of cardiogenic shock: left ventricular outflow obstruction, severe mitral regurgitation, and left ventricular dysfunction in Takotsubo cardiomyopathy
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...
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Format: | Article |
Language: | English |
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Wiley
2022-08-01
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Series: | ESC Heart Failure |
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Online Access: | https://doi.org/10.1002/ehf2.13936 |
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author | Laura Methvin Spencer D. Liu Shayne E. Dodge Lauren G. Gilstrap |
author_facet | Laura Methvin Spencer D. Liu Shayne E. Dodge Lauren G. Gilstrap |
author_sort | Laura Methvin |
collection | DOAJ |
description | 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. |
first_indexed | 2024-12-12T01:44:45Z |
format | Article |
id | doaj.art-b7285461a55b4e85892867a35562577c |
institution | Directory Open Access Journal |
issn | 2055-5822 |
language | English |
last_indexed | 2024-12-12T01:44:45Z |
publishDate | 2022-08-01 |
publisher | Wiley |
record_format | Article |
series | ESC Heart Failure |
spelling | doaj.art-b7285461a55b4e85892867a35562577c2022-12-22T00:42:37ZengWileyESC Heart Failure2055-58222022-08-01942719272310.1002/ehf2.13936Opposing forces of cardiogenic shock: left ventricular outflow obstruction, severe mitral regurgitation, and left ventricular dysfunction in Takotsubo cardiomyopathyLaura Methvin0Spencer D. Liu1Shayne E. Dodge2Lauren G. Gilstrap3Heart and Vascular Center, Dartmouth‐Hitchcock Medical Center Lebanon NH USAHeart and Vascular Center, Dartmouth‐Hitchcock Medical Center Lebanon NH USAHeart and Vascular Center, Dartmouth‐Hitchcock Medical Center Lebanon NH USAHeart and Vascular Center, Dartmouth‐Hitchcock Medical Center Lebanon NH USAAbstract 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.https://doi.org/10.1002/ehf2.13936TakotsuboCardiogenicShockMitral regurgitation |
spellingShingle | Laura Methvin Spencer D. Liu Shayne E. Dodge Lauren G. Gilstrap Opposing forces of cardiogenic shock: left ventricular outflow obstruction, severe mitral regurgitation, and left ventricular dysfunction in Takotsubo cardiomyopathy ESC Heart Failure Takotsubo Cardiogenic Shock Mitral regurgitation |
title | Opposing forces of cardiogenic shock: left ventricular outflow obstruction, severe mitral regurgitation, and left ventricular dysfunction in Takotsubo cardiomyopathy |
title_full | Opposing forces of cardiogenic shock: left ventricular outflow obstruction, severe mitral regurgitation, and left ventricular dysfunction in Takotsubo cardiomyopathy |
title_fullStr | Opposing forces of cardiogenic shock: left ventricular outflow obstruction, severe mitral regurgitation, and left ventricular dysfunction in Takotsubo cardiomyopathy |
title_full_unstemmed | Opposing forces of cardiogenic shock: left ventricular outflow obstruction, severe mitral regurgitation, and left ventricular dysfunction in Takotsubo cardiomyopathy |
title_short | Opposing forces of cardiogenic shock: left ventricular outflow obstruction, severe mitral regurgitation, and left ventricular dysfunction in Takotsubo cardiomyopathy |
title_sort | opposing forces of cardiogenic shock left ventricular outflow obstruction severe mitral regurgitation and left ventricular dysfunction in takotsubo cardiomyopathy |
topic | Takotsubo Cardiogenic Shock Mitral regurgitation |
url | https://doi.org/10.1002/ehf2.13936 |
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