Autonomic Dysfunction and Takotsubo Cardiomyopathy

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Microvascular Dysfunction in Takotsubo Cardiomyopathy

Takotsubo cardiomyopathy (TC), also called stress cardiomyopathy, apical ballooning syndrome or broken heart syndrome, is a syndrome characterized by transient regional systolic dysfunction of the left ventricle (LV), mimicking myocardial infarction (MI), but in the absence of evidence of angiographic significant obstructive coronary artery disease (CAD) or acute plaque rupture. In most cases o...

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[Transient ventricular dysfunction (Takotsubo cardiomyopathy)].

The patient was a male with myasthenia gravis, hospitalized with acute respiratory failure due to decompensation of the underlying disease. He evolved with findings suggestive of acute myocardial infarction, with electrocardiographic and enzymatic alterations compatible with that diagnosis. The patient underwent emergency coronary angiography, which showed no severe coronary obstruction, althou...

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Takotsubo cardiomyopathy causing transitory ventricular dysfunction.

This is the report of a 74-year-old female patient with a history of systemic hypertension and peripheral vascular disease who presented acute coronary syndrome symptoms. Coronary angiography showed coronary arteries with no significant obstructions. Ventriculography and echocardiography showed akinesia in mid and apical segments; and hyperkinesia of left ventricle basal segments. Two weeks aft...

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Persisting myocardial sympathetic dysfunction in takotsubo cardiomyopathy

A 73-year-old woman without a cardiovascular history was admitted with chest discomfort, dizziness, and nausea after an emotional meeting with the staff of a nursing home. She experienced the same complaints some years before when her father died. On admission the patient was in cardiogenic shock. Auscultation of the heart revealed a grade 3/6 systolic murmur radiating to the left axilla. The e...

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Cardiac autonomic imbalance in patients with reversible ventricular dysfunction takotsubo cardiomyopathy.

BACKGROUND Although in reversible takotsubo cardiomyopathy (TC), wall motion generally recovers dramatically within a few weeks, there are few data on changes in autonomic function in this condition. AIM To investigate cardiac autonomic function in the acute and chronic phases of TC. METHODS Ten patients with TC (mean age 70.1 +/- 13.7 years) underwent cardiac catheterization on the first h...

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ژورنال

عنوان ژورنال: The American Journal of Medicine

سال: 2015

ISSN: 0002-9343

DOI: 10.1016/j.amjmed.2015.06.013