Takotsubo heart disease in a critical patient. Case report

Authors

DOI:

https://doi.org/10.35622/j.ram.2022.02.006

Keywords:

Takotsubo, acute myocardial infarction, sepsis

Abstract

Takotsubo cardiomyopathy is a pathology known as broken heart syndrome. It is characterized as heart failure associated with contractile dysfunction of the left ventricle that resembles acute myocardial infarction with its characteristics of precordial pain, enzyme elevation, changes in electrocardiogram with the difference that coronary arteries free of obstruction are observed in angiography. There are several disenchant factors, from physical exertion to sepsis. The case of a female patient with a history of cancer who presented a clinical picture of urinary sepsis was presented. With complementary treatment with ACE inhibitors, beta-blockers, anticoagulation, the patient was discharged in stable condition.

Author Biographies

  • Danny Silva, University of Guayaquil

    Médico Especialista en Medicina Interna, Jefe área de Emergencias en el Hospital Clínica Guayaquil, Ecuador.

  • Christian Ordoñez , Universidad de Especialidades Espíritu Santo

    Médico posgradista Residentes del Servicio de Cuidados intensivos Hospital Clínica Guayaquil, Ecuador.

  • Paula Olivos, Universidad de Especialidades Espíritu Santo

    Médico posgradista Residentes del Servicio de Cuidados intensivos Hospital Clínica San Francisco, Ecuador.

  • Carlos Loor, Universidad de Especialidades Espíritu Santo

    Médico posgradista Residentes del Servicio de Cuidados intensivos Hospital Clínica Guayaquil, Ecuador.

  • Carlos Martinez, University of Guayaquil

    Médico Residente del área de Cuidados Críticos, Hospital Clínica de Guayaquil, Ecuador.

References

Templin C, Ghadri JR, Diekmann J, Napp LC, Bataiosu DR, Jaguszewski M, et al. Clinical Features and Outcomes of Takotsubo (Stress) Cardiomyopathy. N Engl J Med. 3 de septiembre de 2015;373(10):929-38. doi: 10.1056/NEJMoa1406761.

Kato K, Lyon AR, Ghadri JR, Templin C. Takotsubo syndrome: aetiology, presentation and treatment. Heart Br Card Soc. septiembre de 2017;103(18):1461-9. DOI: 10.1136/heartjnl-2016-309783

Sachdev E, Bairey Merz CN, Mehta PK. Takotsubo Cardiomyopathy. Eur Cardiol Rev. julio de 2015;10(1):25-30. DOI: 10.15420/ecr.2015.10.01.25

Amin HZ, Amin LZ, Pradipta A. Takotsubo Cardiomyopathy: A Brief Review. J Med Life. 2020;13(1):3-7. DOI: 10.25122/jml-2018-0067

Gupta S, Gupta MM. Takotsubo syndrome. Indian Heart J. 2018;70(1):165-74. DOI: 10.1016/j.ihj.2017.09.005

Arandia-Guzmán J, Antezana-Llaveta G, Zarate-Carrillo A. Miocardiopatía inducida por estrés o síndrome de Takotsubo: a propósito de un caso. Gac Médica Boliv. junio de 2018;41(1):71-4. http://www.scielo.org.bo/scielo.php?pid=S1012-29662018000100015&script=sci_abstract

Fuentes A. Síndrome de Takotsubo perioperatorio: a propósito de un caso. [Internet]. AnestesiaR. 2021 [citado 15 de octubre de 2022]. Disponible en: https://anestesiar.org/2021/sindrome-de-takotsubo-perioperatorio-a-proposito-de-un-caso DOI: https://doi.org/10.30445/rear.v13i11.1028/

Pelliccia F, Kaski JC, Crea F, Camici PG. Pathophysiology of Takotsubo Syndrome. Circulation. 13 de junio de 2017;135(24):2426-41DOI: 10.1161/CIRCULATIONAHA.116.027121

Medina de Chazal H, Del Buono MG, Keyser-Marcus L, Ma L, Moeller FG, Berrocal D, et al. Stress Cardiomyopathy Diagnosis and Treatment: JACC State-of-the-Art Review. J Am Coll Cardiol. 16 de octubre de 2018;72(16):1955-71. DOI: 10.1016/j.jacc.2018.07.072

Lyon AR, Bossone E, Schneider B, Sechtem U, Citro R, Underwood SR, et al. Current state of knowledge on Takotsubo syndrome: a Position Statement from the Taskforce on Takotsubo Syndrome of the Heart Failure Association of the European Society of Cardiology. Eur J Heart Fail. enero de 2016;18(1):8-27. DOI: 10.1002/ejhf.424

Dias A, Núñez Gil IJ, Santoro F, Madias JE, Pelliccia F, Brunetti ND, et al. Takotsubo syndrome: State-of-the-art review by an expert panel - Part 1. Cardiovasc Revascularization Med Mol Interv. enero de 2019;20(1):70-9. DOI: 10.1016/j.carrev.2018.11.015

Brunetti ND, Tarantino N, Guastafierro F, De Gennaro L, Correale M, Stiermaier T, et al. Malignancies and outcome in Takotsubo syndrome: a meta-analysis study on cancer and stress cardiomyopathy. Heart Fail Rev. julio de 2019;24(4):481-8. DOI: 10.1007/s10741-019-09773-6

Volkova M, Russell R. Anthracycline Cardiotoxicity: Prevalence, Pathogenesis and Treatment. Curr Cardiol Rev. noviembre de 2011;7(4):214-20. DOI: 10.2174/157340311799960645

Coca-Caycho TG, Custodio-Sánche P. Cáncer, quimioterapia y un corazón roto. Reporte de un caso de cardiomiopatía de Takotsubo asociada a quimioterapia. Rev Cuerpo Méd Hosp Nac Almanzor Aguinaga Asenjo. 16 de julio de 2019;12(1):40-3. DOI: https://doi.org/10.35434/rcmhnaaa.2019.121.484

Carrillo-Esper R, Rosado-Garduño P, Ramírez-Ambriz PM, Sánchez-Zúñiga MJ, Carrillo-Esper R, Rosado-Garduño P, et al. Cardiomiopatía de takotsubo secundaria a sepsis. Una asociación poco frecuente. Med Interna México. junio de 2017;33(3):427-35. https://www.medigraphic.com/pdfs/medintmex/mim-2017/mim173p.pdf

Vallabhajosyula S, Deshmukh AJ, Kashani K, Prasad A, Sakhuja A. Tako‐Tsubo Cardiomyopathy in Severe Sepsis: Nationwide Trends, Predictors, and Outcomes. J Am Heart Assoc Cardiovasc Cerebrovasc Dis. 12 de septiembre de 2018;7(18): e009160. DOI: 10.1161/JAHA.118.009160

Ghadri JR, Wittstein IS, Prasad A, Sharkey S, Dote K, Akashi YJ, et al. International Expert Consensus Document on Takotsubo Syndrome (Part I): Clinical Characteristics, Diagnostic Criteria, and Pathophysiology. Eur Heart J. 7 de junio de 2018;39(22):2032-46. DOI: 10.1093/eurheartj/ehy076

Boyd B, Solh T. Takotsubo cardiomyopathy: Review of broken heart syndrome. JAAPA Off J Am Acad Physician Assist. marzo de 2020;33(3):24-9. DOI: 10.1097/01.JAA.0000654368.35241.fc

Y-Hassan S, Tornvall P. Epidemiology, pathogenesis, and management of takotsubo syndrome. Clin Auton Res Off J Clin Auton Res Soc. febrero de 2018;28(1):53-65. DOI: 10.1007/s10286-017-0465-z

Matta A, Delmas C, Campelo-Parada F, Lhermusier T, Bouisset F, Elbaz M, et al. Takotsubo cardiomyopathy. Rev Cardiovasc Med. 20 de enero de 2022;23(1):38. DOI: 10.31083/j.rcm2301038

Published

2022-06-30

Issue

Section

Case reports

How to Cite

Silva, D., Ordoñez , C., Olivos, P., Silva, F., Loor, C., & Martinez, C. (2022). Takotsubo heart disease in a critical patient. Case report. Revista Acciones Médicas, 1(2), 85-94. https://doi.org/10.35622/j.ram.2022.02.006

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