TAKOTSUBO CARDIOMYOPATHY COMPLICATED BY LEFT VENTRICULAR OUTFLOW TRACT OBSTRUCTION

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Takotsubo cardiomyopathy and left ventricular outflow tract obstruction.

Takotsubo cardiomyopathy often presents to the cardiac catheterization laboratory masquerading as acute ST-elevation myocardial infarction (STEMI). Some of these patients present in shock secondary to dynamic left ventricular outflow tract (LVOT) obstruction. The typical patient is an elderly, hypertensive female with sigmoid deformity of the intraventricular septum. The management of hemodynam...

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Takotsubo Syndrome is an acute heart failure that affects Predominantly posmenopausal women. It is similar to acute coronary syndromes with ST segment elevations, therefore, it’s estimated that 1% to 2% of all acute coronary syndromes are Takotsubo cardiomyopathy. There’s also a relation to physical and psychological stress factors, without an exact physiopathology [1]. A previous RETAKO trial,...

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Manifestation of Latent Left Ventricular Outflow Tract Obstruction in the Acute Phase of Takotsubo Cardiomyopathy

Objective Left ventricular outflow tract (LVOT) obstruction is a complication in 15-25% of patients with Takotsubo cardiomyopathy and sometimes leads to catastrophic outcomes, such as cardiogenic shock or cardiac rupture. However, the underlying mechanisms have not been clarified. Methods and Results We experienced 22 cases of Takotsubo cardiomyopathy during 3 years, and 4 of these 22 cases wer...

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Clinical impact of left ventricular outflow tract obstruction in takotsubo cardiomyopathy.

BACKGROUND A hyperdynamic state of the basal left ventricle sometimes results in obstruction of the left ventricular outflow tract (LVOT). However, the prevalence, clinical presentation, and prognostic effect of LVOT obstruction in takotsubo cardiomyopathy (TC) have not been fully evaluated. METHODS AND RESULTS Among 933 consecutive patients who underwent emergency coronary angiography for su...

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Left Ventricular Outflow Tract Obstruction

Patients with hypertrophic cardiomyopathy (i.e., asymmetric septal hypertrophy) may show obstruction to left ventricular outflow under basal conditions or with provocative maneuvers. The presence of dynamic left ventricular outflow tract obstruction in patients with concentric ventricular wall thickening (but without abnormalities of the aortic valve) has been less well appreciated. Clinical an...

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ژورنال

عنوان ژورنال: Journal of the American College of Cardiology

سال: 2021

ISSN: 0735-1097

DOI: 10.1016/s0735-1097(21)03595-6