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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Main Authors: Laura Methvin, Spencer D. Liu, Shayne E. Dodge, Lauren G. Gilstrap
Format: Article
Language:English
Published: Wiley 2022-08-01
Series:ESC Heart Failure
Subjects:
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.
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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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