التفاصيل البيبلوغرافية
| العنوان: |
LESSON OF THE MONTH. Lesson of the month 1: Broken heart in the intensive care unit. |
| المؤلفون: |
Shah, Rahman1,2 Shahcardiology@yahoo.com, Shelton, Michela R.3, Ramanathan, Kodangudi B.2,4 |
| المصدر: |
Clinical Medicine. Aug2014, Vol. 14 Issue 4, p447-448. 2p. |
| مصطلحات موضوعية: |
*ADRENERGIC beta blockers, *ACE inhibitors, *PSYCHOLOGICAL stress, *TAKOTSUBO cardiomyopathy, *ELECTROCARDIOGRAPHY, *OBSTRUCTIVE lung diseases, *DISEASE complications, *DIAGNOSIS |
| مستخلص: |
Takotsubo cardiomyopathy (TCM) is an unusual form of acute cardiomyopathy showing left ventricular apical ballooning. TCM can masquerade as ST elevation myocardial infarction (STEMI). TCM usually occurs following a variety of emotional stressors, but physical stressors can also trigger the condition, as highlighted by the present case. TCM can occur after an acute medical illness; therefore, physicians should be aware of this condition as a potential cause of inotrope-resistant hypotension. In patients with hypotension and moderate-to-severe left ventricular outflow tract (LVOT) obstruction, inotropic agents should be avoided, because they can worsen the degree of obstruction. Instead, beta-blockers are preferred, because they are capable of resolving the obstruction and consequently improve the haemodynamics. [ABSTRACT FROM AUTHOR] |
| قاعدة البيانات: |
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