Stress Cardiomyopathy – ABC CARDIOL

ABCHF

Review Article

Stress Cardiomyopathy (Takotsubo)

Introduction

Takotsubo Cardiomyopathy (CT), also known as stress-induced cardiomyopathy, is a reversible syndrome that usually presents as an acute coronary syndrome, especially in postmenopausal women. The pathophysiology involves multiple factors, including coronary vasospasm, microcirculation dysfunction, catecholaminergic aggression, and sympathetic hyperactivity. The diagnosis of the classic presentation is the presence of a segmental alteration in the form of ballooning or dyskinesia in the antero-septo-apical region of the left ventricle, associated with hyperdynamia of the basal segments, in the absence of obstructive coronary disease that justifies this alteration in contraction. Initially, it was believed that CT was a self-limiting condition with a good prognosis; however, it is currently recognized as a pathology with a high rate of complications and high morbidity and mortality in the short and long term. Even though the first description was made more than 30 years ago, in 1990, by Sato, the etiology and pathophysiology are still not fully defined, and we still do not have an international guideline for standardizing diagnosis and treatment.

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IJCS

Case Report

Takotsubo Syndrome as a Complication of Mild COVID-19: A Case Report

Jéssica Mayara Oséas et al. William Santos de Oliveira Bruna Aparecida Oliveira Jayson Marcus Miranda … Raissa Gabriela Vieira Barros Nestor Rodrigues de Oliveira Neto

Introduction

As the number of cases of coronavirus disease 2019 (COVID-19) has reached tens of millions worldwide, the understanding of its clinical manifestations has grown. These have been described as a range of systemic repercussions resulting from an interplay between direct organ damage and exaggerated host immune response.^, In a descriptive case series study of COVID-19 patients in Wuhan, 44% of patients had either elevated cardiac biomarkers or new changes in electrocardiogram (ECG) and imaging exams, and 34% of all cases had acute heart failure. Systemic diseases with increased adrenergic response may lead to stress cardiomyopathy, or Takotsubo syndrome, which is a rare condition with challenging diagnosis in the course of COVID-19. Herein we present a case of an elderly woman with mild COVID-19 who presented classical features of takotsubo syndrome on the 5th day of illness.

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Stress Cardiomyopathy (Takotsubo)

Introduction

Takotsubo Syndrome as a Complication of Mild COVID-19: A Case Report

Introduction

Electronic Document Format (Vancouver)

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Electronic Document Format (APA)

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Electronic Document Format (Vancouver)

Electronic Document Format (ABNT)

Electronic Document Format (APA)

Electronic Document Format (ISO)