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Published on: May 22, 2019
[Takotsubo Syndrome: cardiovascular complication of stroke]
Claudio Leiva Abanto1, Félix Medina Palomino1, Henry Anchante Hernández1
1Hospital Nacional Cayetano Heredia. Lima, Perú. Hospital Nacional Cayetano Heredia Lima Perú.
Insights
An elderly patient experienced ischemic stroke, Takotsubo syndrome, and atrial fibrillation. These events indicate a Brain Heart Syndrome, a serious condition associated with high mortality risk.
Area of Science:
- Cardiology
- Neurology
- Internal Medicine
Background:
- The patient, an 82-year-old female with a history of type 2 diabetes mellitus and hypertension, presented with an ischemic stroke.
- This initial event served as a precursor to subsequent cardiovascular complications.
Observation:
- The ischemic stroke was complicated by the development of Takotsubo cardiomyopathy.
- Following discharge, the patient was readmitted due to atrial fibrillation.
Findings:
- The co-occurrence of ischemic stroke, Takotsubo syndrome, and atrial fibrillation in this patient meets the criteria for Brain Heart Syndrome.
- Brain Heart Syndrome represents a complex interplay between neurological and cardiac events.
Implications:
- This case highlights the significant mortality risk associated with Brain Heart Syndrome.
- Recognizing and managing Brain Heart Syndrome is crucial for improving patient outcomes in complex cardiovascular and neurological cases.
Abstract:
An 82-year-old woman, Katz A, with a history of type 2 diabetes mellitus and high blood pressure, was admitted for ischemic stroke complicated by Takotsubo´s syndrome with subsequent readmission for atrial fibrillation after discharge. These three clinical events have criteria to be integrated as a Brain Heart Syndrome, which is a high-risk condition for mortality.
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