Tako-Tsubo Cardiomyopathy Due to Long-Term Hospital Stay: A Case Report

Takotsubo cardiomyopathy (TC) is acute and temporal dysfunction of the left ventricle, and characterized by ballooning usually involving the apical region of the left ventricle without significant stenosis in coronary arteries. It is generally encountered after emotional or physical stress in women...

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Main Authors: Cahide Uğur Erol, Mehmet Akif Yaşar, Alp Akay
Format: Article
Language:English
Published: Galenos Yayinevi 2015-04-01
Series:Türk Yoğun Bakim Derneği Dergisi
Subjects:
Online Access:http://www.yogunbakimderg.com/article_8917/Tako-tsubo-Cardiomyopathy-Due-To-Long-term-Hospital-Stay-A-Case-Report
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author Cahide Uğur Erol
Mehmet Akif Yaşar
Alp Akay
author_facet Cahide Uğur Erol
Mehmet Akif Yaşar
Alp Akay
author_sort Cahide Uğur Erol
collection DOAJ
description Takotsubo cardiomyopathy (TC) is acute and temporal dysfunction of the left ventricle, and characterized by ballooning usually involving the apical region of the left ventricle without significant stenosis in coronary arteries. It is generally encountered after emotional or physical stress in women in the post-menopausal period. This left ventricular dysfunction recovers within days or weeks. Rarely, cardiogenic shock develops due to severe ventricular dysfunction, which may result in death. Although its pathophysiology is not fully understood, increased cathecolamines are considered to play an important role. Stunned myocardium, hypertension, chronic obstructive lung disease, decreased estrogen level, small vessel disease, myocarditis, insufficient metabolism of fatty acids of myocardium was also suggested. Sudden onset chest pain mimicking Acute coronary syndrome, dyspnea, syncope, ECG alterations, slight increase in myocardial enzymes may be detected. Frequently, such patients in coronary intensive care unit are transferred to general intensive care unit for respiratory support. To the best of our knowledge, there has been no TC syndrome in the literature, which develops in a patient under intensive stress due to an extraordinary long term hospitalization.
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spelling doaj.art-b892d9fe960a44dba1a412630c2cbf1e2023-02-15T16:07:29ZengGalenos YayineviTürk Yoğun Bakim Derneği Dergisi2146-64162147-267X2015-04-01131414510.4274/tybdd.97269Tako-Tsubo Cardiomyopathy Due to Long-Term Hospital Stay: A Case ReportCahide Uğur Erol0Mehmet Akif Yaşar1Alp Akay2Bahçeşehir Üniversitesi Tıp Fakültesi, Anesteziyoloji ve Reanimasyon Anabilim Dalı, İstanbul, TürkiyeBahçeşehir Üniversitesi Tıp Fakültesi, Anesteziyoloji ve Reanimasyon Anabilim Dalı, İstanbul, TürkiyeBahçeşehir Üniversitesi Tıp Fakültesi, Anesteziyoloji ve Reanimasyon Anabilim Dalı, İstanbul, TürkiyeTakotsubo cardiomyopathy (TC) is acute and temporal dysfunction of the left ventricle, and characterized by ballooning usually involving the apical region of the left ventricle without significant stenosis in coronary arteries. It is generally encountered after emotional or physical stress in women in the post-menopausal period. This left ventricular dysfunction recovers within days or weeks. Rarely, cardiogenic shock develops due to severe ventricular dysfunction, which may result in death. Although its pathophysiology is not fully understood, increased cathecolamines are considered to play an important role. Stunned myocardium, hypertension, chronic obstructive lung disease, decreased estrogen level, small vessel disease, myocarditis, insufficient metabolism of fatty acids of myocardium was also suggested. Sudden onset chest pain mimicking Acute coronary syndrome, dyspnea, syncope, ECG alterations, slight increase in myocardial enzymes may be detected. Frequently, such patients in coronary intensive care unit are transferred to general intensive care unit for respiratory support. To the best of our knowledge, there has been no TC syndrome in the literature, which develops in a patient under intensive stress due to an extraordinary long term hospitalization.http://www.yogunbakimderg.com/article_8917/Tako-tsubo-Cardiomyopathy-Due-To-Long-term-Hospital-Stay-A-Case-ReportTakotsubo cardiomyopathyBroken heart syndromeanginastressintensive care unit
spellingShingle Cahide Uğur Erol
Mehmet Akif Yaşar
Alp Akay
Tako-Tsubo Cardiomyopathy Due to Long-Term Hospital Stay: A Case Report
Türk Yoğun Bakim Derneği Dergisi
Takotsubo cardiomyopathy
Broken heart syndrome
angina
stress
intensive care unit
title Tako-Tsubo Cardiomyopathy Due to Long-Term Hospital Stay: A Case Report
title_full Tako-Tsubo Cardiomyopathy Due to Long-Term Hospital Stay: A Case Report
title_fullStr Tako-Tsubo Cardiomyopathy Due to Long-Term Hospital Stay: A Case Report
title_full_unstemmed Tako-Tsubo Cardiomyopathy Due to Long-Term Hospital Stay: A Case Report
title_short Tako-Tsubo Cardiomyopathy Due to Long-Term Hospital Stay: A Case Report
title_sort tako tsubo cardiomyopathy due to long term hospital stay a case report
topic Takotsubo cardiomyopathy
Broken heart syndrome
angina
stress
intensive care unit
url http://www.yogunbakimderg.com/article_8917/Tako-tsubo-Cardiomyopathy-Due-To-Long-term-Hospital-Stay-A-Case-Report
work_keys_str_mv AT cahideugurerol takotsubocardiomyopathyduetolongtermhospitalstayacasereport
AT mehmetakifyasar takotsubocardiomyopathyduetolongtermhospitalstayacasereport
AT alpakay takotsubocardiomyopathyduetolongtermhospitalstayacasereport