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| http://dx.doi.org/10.1016/j.seizure.2020.09.003 | DOI Listing |
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Shock and Awe: The Tactical Trade-Offs of Impella Versus Intra-Aortic Balloon Pump in Takotsubo Cardiomyopathy.
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Cardiovascular Medicine, Premier Heart Institute, Boonshoft School of Medicine, Wright State University, Dayton, OH 45435, USA.
Takotsubo cardiomyopathy (TCM), an acute stress-induced left ventricular dysfunction, stems from catecholaminergic surges leading to transient myocyte stunning, calcium overload, and microvascular dysregulation. Although most cases resolve spontaneously, roughly 10% deteriorate into fulminant cardiogenic shock, warranting mechanical circulatory support (MCS). Impella provides direct transvalvular LV unloading but carries elevated risks of hemolysis, vascular compromise, and thrombogenicity.
View Article and Find Full Text PDFFulminant Takotsubo syndrome with cardiogenic shock and mitral-edge-to-edge repair in new severe secondary mitral valve regurgitation after elective implantation of a cardiac resynchronization therapy: a case report.
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Department of Cardiology and Angiology, Faculty of Medicine, Medical Center-University of Freiburg, University of Freiburg, Südring 15, Bad Krozingen 79189, Germany.
Background: Takotsubo syndrome is a cardiac disease typically characterized by transient ventricular dysfunction. Although long considered benign due to the often reversible course, severe cases, including cardiogenic shock, may occur partially due to cardiac complications, such as severe secondary mitral regurgitation.
Case Summary: An 81-year-old female patient presented for the elective implantation of cardiac resynchronization therapy (CRT) in preparation of a His-ablation for therapy-refractory, highly symptomatic, paroxysmal atrial fibrillation.
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Department of Critical Care Medicine, Peking Union Medical College Hospital, Peking Union Medical College & Chinese Academy of Medical Sciences, Beijing, People's Republic of China.
Objective: In this study, we enrolled patients with acute brain injury (ABI) to examine the relationship between paroxysmal sympathetic hyperactivity (PSH) and volume status, right heart function, and pulmonary edema, and their impact on prognosis.
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Cardiac sarcoidosis is a relatively rare disease that can lead to arrhythmia or sudden death. Herein, we report a case of isolated cardiac sarcoidosis presenting as syncope with a paroxysmal atrioventricular block in a 34-year-old man. After reviewing the results of standard cardiac testing, we administered an implantable loop recorder, which confirmed paroxysmal atrioventricular block.
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Department of Cardiovascular Medicine, Nippon Medical School, 1-1-5, Sendagi, Bunkyo-ku, Tokyo 113-8603, Japan.
Background: Veno-arterial extracorporeal membrane oxygenation (VA-ECMO) is vital for acute cardio-respiratory failure, but challenges persist sometimes in weaning. Prone positioning, beneficial in veno-venous extracorporeal oxygenation (VV-ECMO), is generally avoided in VA-ECMO patients because of the risks such as bleeding from the catheter insertion site and dislodging of the perfusion cannula or tracheal tube.
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