Related Experiment Video
Updated: Jun 6, 2026
06:26
Novel and Innovative Hybrid Technique for Type A Aortic Dissection
Published on: March 28, 2025
Patient with Takayasu arteritis presented as cardiogenic shock
Gulten Tacoy1, Ahmet Akyel, Yusuf Tavil
1Gazi University Faculty of Medicine, Cardiology Department, Besevler, Ankara, Turkey. gtacoy@gmail.com
Future Cardiology
|December 15, 2010
Summary
Takayasu arteritis, a rare inflammatory disease, can present with cardiogenic shock. This case highlights a 47-year-old male with initial cardiogenic shock due to extensive aortic and branch artery occlusion.
Area of Science:
- Cardiovascular Medicine
- Rheumatology
- Vascular Inflammation
Background:
- Takayasu arteritis is a chronic inflammatory vasculitis affecting the aorta and its branches.
- It predominantly impacts young women, with cardiac complications being uncommon.
- Coronary artery disease and cardiogenic shock are particularly rare initial manifestations.
Observation:
- A 47-year-old male presented with severe cardiogenic shock.
- Initial investigations revealed extensive arterial occlusive disease.
- The patient had no prior history suggestive of Takayasu arteritis.
Findings:
- The patient was diagnosed with Takayasu arteritis.
- The disease caused occlusion of the coronary arteries, subclavian artery, celiac artery, and the entire abdominal aorta.
- Cardiogenic shock was the presenting symptom, a rare initial sign.
Implications:
- This case underscores that Takayasu arteritis can present atypically in men.
- It emphasizes the importance of considering Takayasu arteritis in patients with unexplained cardiogenic shock and extensive vascular occlusion.
- Early diagnosis and management are crucial to prevent severe cardiovascular events.
Related Concept Videos
01:25Pericarditis IV: Nursing Management
Pericarditis, an inflammation of the pericardium, necessitates diligent nursing management to ensure effective patient care and recovery. The initial step in managing pericarditis is a comprehensive patient medical assessment.The patient reports chest pain aggravated by breathing, coughing, and swallowing, which worsens when lying supine. The pain often improves when sitting up and leaning forward. Additional symptoms may include fever, malaise, and, in severe cases, signs of heart failure.
01:24Blood Pressure Imbalances and Circulatory Shock
Disorders affecting blood volume, vascular tone, or vascular function can disrupt vascular homeostasis, including conditions like hypertension, hemorrhage, and shock.
Blood Pressure: Hypertension and Hypotension
Normal blood pressure is 120/80 mm Hg. Elevated blood pressure is 120-129/under 80 mm Hg. Hypertension, warranting treatment at 130/80 mm Hg, is often asymptomatic and can lead to severe cardiovascular events, aneurysms, peripheral arterial disease, chronic renal disease, or cardiac...
Blood Pressure: Hypertension and Hypotension
Normal blood pressure is 120/80 mm Hg. Elevated blood pressure is 120-129/under 80 mm Hg. Hypertension, warranting treatment at 130/80 mm Hg, is often asymptomatic and can lead to severe cardiovascular events, aneurysms, peripheral arterial disease, chronic renal disease, or cardiac...
01:30Cardiomyopathy II: Dilated Cardiomyopathy
Dilated cardiomyopathy, or DCM, is a progressive myocardial disorder characterized by ventricular chamber dilation and contractile dysfunction.EtiologyVarious factors can cause DCM, including hypertension and heavy alcohol intake, which contribute to the weakening and enlargement of the heart muscle. Viral infections, such as Coxsackievirus B, adenoviruses, and influenza, can lead to DCM by causing inflammation and damage to heart tissue. Certain chemotherapeutic agents, including daunorubicin,...
01:14Myocarditis III: Medical Management
Myocarditis: Comprehensive Medical ManagementMyocarditis, the heart muscle inflammation, requires a comprehensive medical management strategy that addresses the underlying cause, provides supportive care, manages symptoms, and reduces cardiac workload.Infections and Autoimmune CausesAdminister appropriate antimicrobial therapy when an infectious agent causes myocarditis. For instance, penicillin treats infections caused by Group A Streptococcus. In cases where autoimmune processes are...
01:19Pericarditis II: Clinical Features and Diagnostic Tests
Pericarditis is distinguished by inflammation of the pericardium, the fibrous sac that encases the heart. It can be acute, lasting less than six weeks, or chronic, persisting for over three months. Understanding its clinical manifestations and diagnostic findings is crucial for timely and effective management.Clinical ManifestationsWhile pericarditis can be asymptomatic, it usually presents with characteristic symptoms such as:Chest Pain: The most characteristic symptom of pericarditis is chest...
01:29Cardiomyopathy III: Hypertrophic Cardiomyopathy
Hypertrophic cardiomyopathy, or HCM, is an autosomal dominant genetic disorder characterized by asymmetric left ventricular hypertrophy without ventricular dilation. It is more common in men and is typically diagnosed in young, athletic adults.EtiologyHCM is primarily genetic and is caused by mutations in genes encoding sarcomeric proteins. Researchers have identified over 1400 mutations across at least 11 different genes. Among these, the most frequently occurring mutations are found in the...