Publication details

"Stresová dovolená" aneb takotsubo kardiomyopatie

Title in English "Stressful holiday" - takotsubo cardiomyopathy
Authors

KOC Lumír PAVLUŠOVÁ Marie PAŘENICA Jiří MAŇOUSEK Jan VLAŠÍNOVÁ Jitka ŠPINAR Jindřich KALA Petr

Year of publication 2015
Type Article in Periodical
Magazine / Source Vnitřní lékařství
MU Faculty or unit

Faculty of Medicine

Citation
Field Cardiovascular diseases incl. cardiosurgery
Keywords myocardial infarction; sudden cardiac death; takotsubo cardiomyopathy; ventricular fibrillation
Description Takotsubo cardiomyopathy (TTC) is an acute syndrome characterized by rapid onset of transient systolic dysfunction of the left ventricle. Symptoms, ECG and laboratory findings resemble acute coronary syndrome, from which TTC differs by the absence of coronary artery disease. In typical cases, TTC is triggered by exposure to unexpected stress and the clinical course and prognosis are very good. We present a case of a 63-year-old woman, in whom the onset of the disease was complicated by ventricular fibrillation. The patient recovered without sequelae thanks to immediate cardiopulmonaty resuscitation and following care in a specialized cardiocenter, which involved also implantation of implantable cardioverter defibrillator to prevent sudden cardiac death. Takotsubo cardiomyopathy is an important entity in the differential diagnosis of acute coronary syndrome. Despite very good prognosis in most cases it should not be underestimated and it deserves careful attention and treatment which can prevent harmful complications.

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