The case of takotsubo syndrome

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Abstract

The article describes the current understanding of the takotsubo syndrome concerning the issues of pathogenesis, differential diagnosis with acute coronary syndrome and strategy of management. There is presented our own clinical observation of a patient with an atypical form of cardiac dysfunction and myocardial geometry.

About the authors

Ya. B. Khovaeva

E.A. Vagner Perm State Medical University

Email: lizikvoronova@mail.ru

MD, PhD, Professor, Head of Department of Internal Diseases and Family Medicine

Russian Federation

N. V. Kiryanova

E.A. Vagner Perm State Medical University

Email: lizikvoronova@mail.ru

Candidate of Medical Sciences, Associate Professor, Department of Internal Diseases and Family Medicine

Russian Federation

T. M. Zinkovskaya

E.A. Vagner Perm State Medical University

Email: lizikvoronova@mail.ru

MD, PhD, Professor, Department of Internal Diseases and Family Medicine

Russian Federation

N. V. Ivanova

City Clinical Hospital № 2 named after F.H. Gral

Email: lizikvoronova@mail.ru

Candidate of Medical Sciences, Head of Functional Diagnostics Unit

Russian Federation, PermPerm

D. Yu. Sosnin

E.A. Vagner Perm State Medical University

Email: lizikvoronova@mail.ru

MD, PhD, Professor, Department of Faculty Therapy № 2, Occupational Pathology and Clinical Laboratory Diagnostics

Russian Federation

N. P. Moiseenko

E.A. Vagner Perm State Medical University

Email: lizikvoronova@mail.ru

Candidate of Medical Sciences, Associate Professor, Department of Internal Diseases and Family Medicine

Russian Federation

E. I. Voronova

E.A. Vagner Perm State Medical University

Author for correspondence.
Email: lizikvoronova@mail.ru

Candidate of Medical Sciences, Associate Professor, Department of Internal Diseases and Family Medicine

Russian Federation

S. V. Gladkov

Federal Center of Cardiovascular Surgery named after S.G. Sukhanov

Email: lizikvoronova@mail.ru

Candidate of Medical Sciences, Deputy Head Doctor for Organization of Medical Care

Russian Federation, Perm

A. V. Gerasimova

E.A. Vagner Perm State Medical University

Email: lizikvoronova@mail.ru

Candidate of Medical Sciences, Assistant, Department of Internal Diseases and Family Medicine

Russian Federation

References

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  2. Liang J.J., Cha Y.M., Oh J.K., Prasad A. Sudden cardiac death: an increasingly recognized presentation of apical ballooning syndrome Takotsubo cardiomyopathy). Heart Lung 2013; 42: 270–272.
  3. Van S.-H., Liang Dzh.Dzh. Takotsubo cardiomyopathy: etiology, diagnosis and treatment optimization. Kardiologiya 2015; 1 4): 8–15 in Russian).
  4. Tsuchihashi K., Ueshima K., Uchida T., et al. Transient left ventricular apical ballooning without coronary artery stenosis: a novel heart syndrome mimicking acute myocardial infarction. J Am Coll Cardiol 2001; 38: 11–18.
  5. Villareal R.P., Achari A., Wilansky S., Wilson J.M. Anteroapical stunning and left ventricular outflow tract obstruction. Circulation 2006; 113: 1807–1816.
  6. Sharkey S.W., Lesser J.R., Menon M. et al. Spectrum and significance of electrocardiographic patterns, troponin levels, and thrombolysis in myocardial infarction frame count in patients with stress Takotsubo) cardiomyopathy and comparison to those in patients with ST-elevation anterior wall myocardial infarction. Am J Cardiol 2008; 101: 1723–1728.
  7. Eitel I., von Knobelsdorff-Brenkenhoff F., Bernhardt P. et al. Clinical characteristics and cardiovascular magnetic resonance findings in stress Takotsubo) cardiomyopathy JAMA 2011; 306: 277–286.
  8. Kurowski V., Kaiser A., von Hof K. et al. Apical and midventricular transient left ventricular dysfunction syndrome Takotsubo cardiomyopathy): frequency, mechanisms, and prognosis. Chest 2007; 132: 809–816.
  9. Liang J.J., Kurklinsky A.K., Peterson T.J. et al. Postprocedural inverted Takotsubo cardiomyopathy. Heart Lung Circ 2013; 22: 1060–1061.
  10. Prasad A., Lerman A., Rihal C.S. Apical ballooning syndrome Takotsubo or stress cardiomyopathy): a mimic of acute myocardial infarction. Am Heart J 2008; 155: 408–417.
  11. Buja P., Zuin G., Di Pede F. et al. Long-term outcome and sex distribution across ages of left ventricular apical ballooning syndrome. J Cardiovasc Med Hagerstown) 2008; 9: 905–909.
  12. Redmond M., Knapp C., Salim M. et al. Use of vasopressors in Takotsubo cardiomyopathy: a cautionary tale. Br J Anaesth 2013; 110: 487–488.

Supplementary files

Supplementary Files
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1. JATS XML
2. Figure: 1. Electrocardiograms of the patient: а - in the vascular department; б - filmed a month earlier; в - on the 10th day after coronary angiography

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3. Figure: 2. Longitudinal deformity of the left ventricle: а - initially; б - in dynamics

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Copyright (c) 2021 Khovaeva Y.B., Kiryanova N.V., Zinkovskaya T.M., Ivanova N.V., Sosnin D.Y., Moiseenko N.P., Voronova E.I., Gladkov S.V., Gerasimova A.V.

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