Document Detail

Lesson of the month 1: Broken heart in the intensive care unit.
MedLine Citation:
PMID:  25099853     Owner:  NLM     Status:  In-Data-Review    
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.
Rahman Shah; Michela R Shelton; Kodangudi B Ramanathan
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Clinical medicine (London, England)     Volume:  14     ISSN:  1470-2118     ISO Abbreviation:  Clin Med     Publication Date:  2014 Aug 
Date Detail:
Created Date:  2014-08-07     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101092853     Medline TA:  Clin Med     Country:  England    
Other Details:
Languages:  eng     Pagination:  447-8     Citation Subset:  IM    
Copyright Information:
© 2014 Royal College of Physicians.
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