Seizure-Associated Takotsubo Cardiomyopathy

被引:1
作者
Conte, Juliette [1 ]
Yoo, Michael J. [1 ]
Larson, Neil P. [1 ]
机构
[1] Brooke Army Med Ctr, Emergency Med, San Antonio, TX 78234 USA
关键词
takotsubo; cardiomyopathy; seizure; systolic heart failure; OUTCOMES;
D O I
10.7759/cureus.10599
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Takotsubo cardiomyopathy (TCOM) is a syndrome characterized by acute systolic dysfunction that can mimic acute coronary syndrome (ACS), usually incited by physical or emotional stress. However, acute neurological dysfunction, including seizures, has been recently described as an additional risk factor for the development of TCOM. This specific case report reviews the pathophysiology of TCOM and its management. We emphasize that providers should maintain a high index of suspicion for TCOM after acute neurologic dysfunction in patients with chest pain or hemodynamic instability, while also initiating proper investigation for ACS. Although classically thought of as a transient process, recent data show that both inhospital and post-hospital morbidity and mortality related to this condition remain concerning.
引用
收藏
页数:5
相关论文
共 19 条
[11]   The Risk of Takotsubo Cardiomyopathy in Acute Neurological Disease [J].
Morris, Nicholas A. ;
Chatterjee, Abhinaba ;
Adejumo, Oluwayemisi L. ;
Chen, Monica ;
Merkler, Alexander E. ;
Murthy, Santosh B. ;
Kamel, Hooman .
NEUROCRITICAL CARE, 2019, 30 (01) :171-176
[12]  
Narayanan A, 2014, BMJ Case Rep, V2014, DOI 10.1136/bcr-2014-206816
[13]  
O'Gara PT, 2013, CIRCULATION, V127, P529, DOI [10.1161/CIR.0b013e3182742c84, 10.1161/CIR.0b013e3182742cf6, 10.1016/j.jacc.2012.11.019]
[14]   Apical ballooning syndrome (Tako-Tsubo or stress cardiomyopathy): A mimic of acute myocardial infarction [J].
Prasad, Abhiram ;
Lerman, Amir ;
Rihal, Charanjit S. .
AMERICAN HEART JOURNAL, 2008, 155 (03) :408-417
[15]   What is Takotsubo (Stress) Cardiomyopathy? [J].
Prasad, Abhiram .
EUROPEAN CARDIOLOGY REVIEW, 2015, 10 (01) :6-8
[16]   Immediate versus delayed detection of Takotsubo syndrome after epileptic seizures [J].
Stoellberger, Claudia ;
Sauerberg, Markus ;
Finsterer, Josef .
JOURNAL OF THE NEUROLOGICAL SCIENCES, 2019, 397 :42-47
[17]   Seizure-associated Takotsubo cardiomyopathy [J].
Stoellberger, Claudia ;
Wegner, Christian ;
Finsterer, Josef .
EPILEPSIA, 2011, 52 (11) :E160-E167
[18]   Clinical Features and Outcomes of Takotsubo (Stress) Cardiomyopathy [J].
Templin, C. ;
Ghadri, J. R. ;
Diekmann, J. ;
Napp, L. C. ;
Bataiosu, D. R. ;
Jaguszewski, M. ;
Cammann, V. L. ;
Sarcon, A. ;
Geyer, V. ;
Neumann, C. A. ;
Seifert, B. ;
Hellermann, J. ;
Schwyzer, M. ;
Eisenhardt, K. ;
Jenewein, J. ;
Franke, J. ;
Katus, H. A. ;
Burgdorf, C. ;
Schunkert, H. ;
Moeller, C. ;
Thiele, H. ;
Bauersachs, J. ;
Tschoepe, C. ;
Schultheiss, H-P. ;
Laney, C. A. ;
Rajan, L. ;
Michels, G. ;
Pfister, R. ;
Ukena, C. ;
Boehm, M. ;
Erbel, R. ;
Cuneo, A. ;
Kuck, K-H. ;
Jacobshagen, C. ;
Hasenfuss, G. ;
Karakas, M. ;
Koenig, W. ;
Rottbauer, W. ;
Said, S. M. ;
Braun-Dullaeus, R. C. ;
Cuculi, F. ;
Banning, A. ;
Fischer, T. A. ;
Vasankari, T. ;
Airaksinen, K. E. J. ;
Fijalkowski, M. ;
Rynkiewicz, A. ;
Pawlak, M. ;
Opolski, G. ;
Dworakowski, R. .
NEW ENGLAND JOURNAL OF MEDICINE, 2015, 373 (10) :929-938
[19]   Transient left ventricular apical ballooning without coronary artery stenosis: A novel heart syndrome mimicking acute myocardial infarction [J].
Tsuchihashi, K ;
Ueshima, K ;
Uchida, T ;
Oh-mura, N ;
Kimura, K ;
Owa, M ;
Yoshiyama, M ;
Miyazaki, S ;
Haze, K ;
Ogawa, H ;
Honda, T ;
Hase, M ;
Kai, R ;
Morii, I .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2001, 38 (01) :11-18