التفاصيل البيبلوغرافية
| العنوان: |
Inverted Takotsubo Following a Ruptured Ectopic Pregnancy, Treated with Levosimendan. |
| المؤلفون: |
Ghariani, Anis, Dhiab, Leila, Ferhi, Fehmi, Abdessalem, Mohamed A. B., Mahdhaoui, Abdallah, Jazia, Khaled B., Jeridi, Gouider |
| المصدر: |
Indian Journal of Critical Care Medicine; Feb2022, Vol. 26 Issue 2, p228-230, 3p, 1 Color Photograph, 1 Black and White Photograph |
| مصطلحات موضوعية: |
ECHOCARDIOGRAPHY, TAKOTSUBO cardiomyopathy, HETEROCYCLIC compounds, CATECHOLAMINES, CORONARY angiography, ECTOPIC pregnancy, PSYCHOLOGICAL stress, HEART failure |
| مستخلص: |
Background: Takotsubo syndrome is a transient stunned myocardium that typically involves the apical and mid-ventricular segments. A variant, called Inverted Takotsubo, concerns the basal and mid-ventricular segments. Case summary: We present a ruptured ectopic pregnancy that was responsible for a catecholamine surge, which led to this stress-induced cardiomyopathy. Transthoracic echocardiography showed mid-basal segments akinesia and hypercontractility of the apical segments. Biology has shown mild elevated troponin and NT-pro-BNP levels which led to performing a coronary angiography that showed no angiographic stenosis. A left ventricle angiography evoked the diagnosis of inverted Takotsubo. The patient has received Levosimendan to allow progressive weaning of catecholamine inotropes. The clinical evolution was favorable. Echocardiography performed after 3 weeks, showed ad-integrum restitution of the left ventricular function. Discussion: Takotsubo syndrome should be evoked whenever a context of physical or psychological stress is present. We underline the usefulness of Levosimendan as a nonadrenergic inotrope in this particular context. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
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