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Cardiogenic shock induced by Takotsubo cardiomyopathy: A new therapeutic option
Marisa Passos Silva1, Eduardo Matos Vilela1, Ricardo Ladeiras Lopes2
1Department of Cardiology, Vila Nova de Gaia/Espinho Hospital Center, Portugal.
Insights
Takotsubo cardiomyopathy (TC) can cause severe heart dysfunction. Extracorporeal life support (ECLS) successfully treated a patient with TC and refractory cardiogenic shock, enabling rapid recovery of heart function.
Area of Science:
- Cardiology
- Cardiovascular Medicine
- Critical Care Medicine
Background:
- Takotsubo cardiomyopathy (TC) presents as acute left ventricular dysfunction, mimicking acute coronary syndromes.
- Cardiogenic shock is a rare but serious complication of TC.
- Management of refractory cardiogenic shock in TC often requires advanced mechanical circulatory support.
Abstract:
Takotsubo cardiomyopathy (TC) is characterized by the sudden onset of reversible left ventricular dysfunction, with a presentation similar to that of an acute coronary syndrome. Although cardiogenic shock is a rare occurrence in TC, if it does occur it may require the use of a left ventricular assist device. We report the use of extracorporeal life support (ECLS) in a patient with TC and refractory cardiogenic shock. With ECLS it was possible to reduce inotropic support, and a normal left ventricular ejection fraction was documented by echocardiography on day 2. This is, to our knowledge, the first reported case of TC with refractory cardiogenic shock treated with ECLS in Portugal.
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