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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Format: | Article |
Language: | English |
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Galenos Yayinevi
2015-04-01
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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. |
first_indexed | 2024-04-10T14:53:46Z |
format | Article |
id | doaj.art-b892d9fe960a44dba1a412630c2cbf1e |
institution | Directory Open Access Journal |
issn | 2146-6416 2147-267X |
language | English |
last_indexed | 2024-04-10T14:53:46Z |
publishDate | 2015-04-01 |
publisher | Galenos Yayinevi |
record_format | Article |
series | Türk Yoğun Bakim Derneği Dergisi |
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 |