Management of cardiogenic shock by circulatory support during reverse Tako-Tsubo following amphetamine exposure: A report of two cases

被引：2

作者：

Cotinet, Pierre-Antoine ^{[1
]}

Bizouarn, Philippe ^{[1
]}

Roux, Francois ^{[1
]}

Rozec, Bertrand ^{[1
,2
]}

机构：

[1] Ctr Hosp Univ Nantes, Hop Guillaume & Rene Laennec, Anesthesie & Reanimat Chirurg, Nantes, France

[2] Univ Nantes, CHU Nantes, CNRS, INSERM,Inst Thorax, F-44000 Nantes, France

来源：

HEART & LUNG | 2021年 / 50卷 / 03期

关键词：

Tako-Tsubo; Extracorporeal membrane oxygenation; Echocardiography; Levosimendan; Case report;

D O I：

10.1016/j.hrtlng.2020.10.007

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Stress-induced cardiomyopathy, also known by various names such as Tako-Tsubo cardiomyopathy (TTC), is a cardiomyopathy that presents different types of transient left ventricular dysfunction. We present two cases of reverse TTC occurring in two young men after amphetamine use and complicated by cardiogenic shock necessitating venoarterial extra-corporeal membrane oxygenation (VA-ECMO). Levosimendan was used in one case to prevent subsequent aggravation of left ventricular function provoked by the use of catecholamine in this context. In both cases, myocardial function recovered rapidly. Amphetamine use can lead to reverse TTC requiring transient mechanical assistance and inotropic support. (C) 2020 Elsevier Inc. All rights reserved.

引用

页码：465 / 469

页数：5