Takotsubo Syndrome in Intensive Cardiac Care Unit: Challenges in Diagnosis and Management

被引:10
作者
Montone, Rocco Antonio [1 ]
La Vecchia, Giulia [2 ]
Buono, Marco Giuseppe Del [2 ,3 ]
Abbate, Antonio [2 ,3 ]
Sanna, Tommaso [1 ]
Pedicino, Daniela [1 ]
Niccoli, Giampaolo [4 ]
Antonelli, Massimo [5 ,6 ]
Crea, Filippo [1 ,2 ]
机构
[1] Fdn Policlin Univ A Gemelli IRCCS, Dept Cardiovasc Med, Rome, Italy
[2] Univ Cattolica Sacro Cuore, Dept Cardiovasc & Pulm Sci, Rome, Italy
[3] Virginia Commonwealth Univ, Wright Ctr Clin & Translat Res, Richmond, VA USA
[4] Univ Parma, Dept Med & Surg, Parma, Italy
[5] Fdn Policlin Univ A Gemelli IRCCS, Dept Emergency Intens Care Med & Anesthesia, Rome, Italy
[6] Univ Cattolica Sacro Cuore, Fdn Policlin Univ A Gemelli IRCCS, Dept Anesthesiol & Intens Care Med, Rome, Italy
关键词
IN-HOSPITAL MORTALITY; CORONARY MICROVASCULAR DYSFUNCTION; CARDIOVASCULAR MAGNETIC-RESONANCE; APICAL BALLOONING SYNDROME; OUTFLOW TRACT OBSTRUCTION; TAKO-TSUBO CARDIOMYOPATHY; STRESS CARDIOMYOPATHY; CARDIOGENIC-SHOCK; CLINICAL-FEATURES; HEART-FAILURE;
D O I
10.1016/j.cpcardiol.2021.101084
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Takotsubo syndrome (TTS) is an acute reversible form of myocardial dysfunction that is often associated with serious adverse in-hospital complica-tions, including acute heart failure, cardiogenic shock and life-threatening arrythmias. In the absence of ran-domized clinical trials, its management in the acute phase is based on empirical supportive pharmacologi-cal and non-pharmacological measures.In this review article, we aimed at providing an overview of the acute clinical manifestations of patients presenting with TTS, highlighting the predictors of a worse short-term outcome, along with the challenges in therapeutic management of TTS-related complications in the acute care setting. (Curr Probl Cardiol 2022;47:101084.)
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页数:26
相关论文
共 85 条
[1]   Cardiac magnetic resonance assessment of takotsubo cardiomyopathy [J].
Abbas, A. ;
Sonnex, E. ;
Pereira, R. S. ;
Coulden, R. A. .
CLINICAL RADIOLOGY, 2016, 71 (01) :E110-E119
[2]  
Aimo A, 2021, INT J CARDIOL, V52, pS0167
[3]   Clinical Presentation and Outcome in a Contemporary Cohort of Patients With Acute Myocarditis: Multicenter Lombardy Registry [J].
Ammirati, Enrico ;
Cipriani, Manlio ;
Moro, Claudio ;
Raineri, Claudia ;
Pini, Daniela ;
Sormani, Paola ;
Mantovani, Riccardo ;
Varrenti, Marisa ;
Pedrotti, Patrizia ;
Conca, Cristina ;
Mafrici, Antonio ;
Grosu, Aurelia ;
Briguglia, Daniele ;
Guglielmetto, Silvia ;
Perego, Giovanni B. ;
Colombo, Stefania ;
Caico, Salvatore I. ;
Giannattasio, Cristina ;
Maestroni, Alberto ;
Carubelli, Valentina ;
Metra, Marco ;
Lombardi, Carlo ;
Campodonico, Jeness ;
Agostoni, Piergiuseppe ;
Peretto, Giovanni ;
Scelsi, Laura ;
Turco, Annalisa ;
Di Tano, Giuseppe ;
Campana, Carlo ;
Belloni, Armando ;
Morandi, Fabrizio ;
Mortara, Andrea ;
Ciro, Antonio ;
Senni, Michele ;
Gavazzi, Antonello ;
Frigerio, Maria ;
Oliva, Fabrizio ;
Camici, Paolo G. .
CIRCULATION, 2018, 138 (11) :1088-1099
[4]   Clinical outcomes associated with catecholamine use in patients diagnosed with Takotsubo cardiomyopathy [J].
Ansari, Uzair ;
El-Battrawy, Ibrahim ;
Fastner, Christian ;
Behnes, Michael ;
Sattler, Katherine ;
Huseynov, Aydin ;
Baumann, Stefan ;
Tueluemen, Erol ;
Borggrefe, Martin ;
Akin, Ibrahim .
BMC CARDIOVASCULAR DISORDERS, 2018, 18
[5]   Role of Cardiovascular Magnetic Resonance in Takotsubo Cardiomyopathy [J].
Athanasiadis, Anastasios ;
Schneider, Birke ;
Sechtem, Udo .
HEART FAILURE CLINICS, 2013, 9 (02) :167-+
[6]   Impella in Takotsubo syndrome complicated by left ventricular outflow tract obstruction and severe mitral regurgitation [J].
Attisano, Tiziana ;
Silverio, Angelo ;
Prota, Costantina ;
Briguori, Carlo ;
Galasso, Gennaro ;
Citro, Rodolfo .
ESC HEART FAILURE, 2020, 7 (01) :307-311
[7]   Mechanical Circulatory Support With Impella Percutaneous Ventricular Assist Device as a Bridge to Recovery in Takotsubo Syndrome Complicated by Cardiogenic Shock and Left Ventricular Outflow Tract Obstruction [J].
Beneduce, Alessandro ;
Bertoldi, Letizia Fausta ;
Melillo, Francesco ;
Baldetti, Luca ;
Spoladore, Roberto ;
Slavich, Massimo ;
Oppizzi, Michele ;
Margonato, Alberto ;
Pappalardo, Federico .
JACC-CARDIOVASCULAR INTERVENTIONS, 2019, 12 (04) :E30-E31
[8]   Time course of electrocardiographic changes in transient left ventricular ballooning syndrome [J].
Bennett, Johan ;
Ferdinande, Bert ;
Kayaert, Peter ;
Wiyono, Stefanus ;
Goetschalkx, Kaatje ;
Dubois, Christophe ;
Sinnaeve, Peter ;
Adriaenssens, Tom ;
Coosemans, Mark ;
Desmet, Walter .
INTERNATIONAL JOURNAL OF CARDIOLOGY, 2013, 169 (04) :276-280
[9]  
Biso Sylvia, 2017, Cardiovasc Psychiatry Neurol, V2017, P5842182, DOI 10.1155/2017/5842182
[10]   Intractable cardiogenic shock in stress cardiomyopathy with left ventricular outflow tract obstruction: is extra-corporeal life support the best treatment? [J].
Bonacchi, Massimo ;
Maiani, Massimo ;
Harmelin, Guy ;
Sani, Guido .
EUROPEAN JOURNAL OF HEART FAILURE, 2009, 11 (07) :721-727