401
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Moderato L, Lazzeroni D, Coruzzi P. Letter by Moderato et al Regarding Article, "Persistent Long-Term Structural, Functional, and Metabolic Changes After Stress-Induced (Takotsubo) Cardiomyopathy". Circulation 2018; 138:960-961. [PMID: 30354452 DOI: 10.1161/circulationaha.117.033253] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Affiliation(s)
- Luca Moderato
- Department of Medicine and Surgery, University of Parma, Italy (L.M.)
| | | | - Paolo Coruzzi
- Department of Medicine and Surgery, University of Parma, Italy (P.C.)
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402
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Madias JE. Brain-heart pathway to injury in takotsubo syndrome. Clin Cardiol 2018; 41:883. [DOI: 10.1002/clc.22970] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/19/2018] [Accepted: 04/23/2018] [Indexed: 11/05/2022] Open
Affiliation(s)
- John E. Madias
- Icahn School of Medicine at Mount Sinai; New York New York
- Division of Cardiology; Elmhurst Hospital Center; Elmhurst New York
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403
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Pelliccia F, Sinagra G, Elliott P, Parodi G, Basso C, Camici PG. Takotsubo: One, no one and one hundred thousand diseases. Int J Cardiol 2018; 261:35. [DOI: 10.1016/j.ijcard.2018.02.003] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/18/2018] [Accepted: 02/01/2018] [Indexed: 11/30/2022]
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404
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Liu VY, Agha AM, Lopez-Mattei J, Palaskas N, Kim P, Thompson K, Mouhayar E, Marmagkiolis K, Hassan SA, Karimzad K, Iliescu CA. Interventional Cardio-Oncology: Adding a New Dimension to the Cardio-Oncology Field. Front Cardiovasc Med 2018; 5:48. [PMID: 29868614 PMCID: PMC5967297 DOI: 10.3389/fcvm.2018.00048] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2017] [Accepted: 05/01/2018] [Indexed: 01/10/2023] Open
Abstract
The management of cardiovascular disease in patients with active cancer presents a unique challenge in interventional cardiology. Cancer patients often suffer from significant comorbidities such as thrombocytopenia and coagulopathic and/or hypercoagulable states, which complicates invasive evaluation and can specifically be associated with an increased risk for vascular access complications. Furthermore, anticancer therapies cause injury to the vascular endothelium as well as the myocardium. Meanwhile, improvements in diagnosis and treatment of various cancers have contributed to an increase in overall survival rates in cancer patients. Proper management of this patient population is unclear, as cancer patients are largely excluded from randomized clinical trials on percutaneous coronary intervention (PCI) and national PCI registries. In this review, we will discuss the role of different safety measures that can be applied prior to and during these invasive cardiovascular procedures as well as the role of intravascular imaging techniques in managing these high risk patients.
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Affiliation(s)
- Victor Y Liu
- Department of Internal Medicine, McGovern Medical School at The University of Texas Health Science Center at Houston, Houston, TX, United States
| | - Ali M Agha
- Department of Internal Medicine, McGovern Medical School at The University of Texas Health Science Center at Houston, Houston, TX, United States
| | - Juan Lopez-Mattei
- Department of Cardiology, Division of Internal Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX, United States.,Department of Diagnostic Radiology, Division of Diagnostic Imaging, The University of Texas MD Anderson Cancer Center, Houston, TX, United States
| | - Nicolas Palaskas
- Department of Cardiology, Division of Internal Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX, United States
| | - Peter Kim
- Department of Cardiology, Division of Internal Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX, United States
| | - Kara Thompson
- Department of Cardiology, Division of Internal Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX, United States
| | - Elie Mouhayar
- Department of Cardiology, Division of Internal Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX, United States
| | | | - Saamir A Hassan
- Department of Cardiology, Division of Internal Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX, United States
| | - Kaveh Karimzad
- Department of Cardiology, Division of Internal Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX, United States
| | - Cezar A Iliescu
- Department of Cardiology, Division of Internal Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX, United States
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405
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Kawano H, Yamasa T, Arakawa S, Matsumoto Y, Sato O, Maemura K. We need more useful surrogate markers for the efficacy of beta-blockers for the treatment of Takotsubo cardiomyopathy. Geriatr Gerontol Int 2018; 18:817-818. [DOI: 10.1111/ggi.13319] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/21/2018] [Indexed: 11/27/2022]
Affiliation(s)
- Hiroaki Kawano
- Department of Cardiovascular Medicine; Nagasaki University Hospital; Nagasaki Japan
- Department of Cardiology; Nagasaki Rosai Hospital; Sasebo Japan
| | | | - Shuji Arakawa
- Department of Cardiovascular Medicine; Nagasaki University Hospital; Nagasaki Japan
- Department of Cardiology; Nagasaki Rosai Hospital; Sasebo Japan
| | - Yuji Matsumoto
- Department of Cardiology; Nagasaki Rosai Hospital; Sasebo Japan
- Department of Cardiology; Sasebo Municipal General Hospital; Sasebo Japan
| | - Osami Sato
- Department of Cardiology; Nagasaki Rosai Hospital; Sasebo Japan
- Department of Cardiology; Saint Nova Hospital; Saikai Japan
| | - Koji Maemura
- Department of Cardiovascular Medicine; Nagasaki University Hospital; Nagasaki Japan
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406
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Yalta K, Yilmaztepe M, Zorkun C. Left Ventricular Dysfunction in the Setting of Takotsubo Cardiomyopathy: A Review of Clinical Patterns and Practical Implications. Card Fail Rev 2018; 4:14-20. [PMID: 29892470 PMCID: PMC5971666 DOI: 10.15420/cfr.2018:24:2] [Citation(s) in RCA: 32] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/27/2017] [Accepted: 02/14/2018] [Indexed: 12/21/2022] Open
Abstract
Takotsubo cardiomyopathy (TTC) is primarily regarded as a form of acute and transient myocardial disease with a variety of characteristic wall-motion abnormalities. Importantly, a significant portion of TTC cases generally present with variable degrees of acute left ventricular (LV) dysfunction with or without clinical HF. On the other hand, LV dysfunction in the setting of TTC has been universally and exclusively considered as a synonym for systolic dysfunction, potentially overlooking other forms of myocardial pathologies, including transient diastolic dysfunction, in this setting. More interestingly, recent observations suggest that TTC, despite its macroscopic recovery, may not always manifest as a fully reversible phenomenon, suggesting persistence of microscopic changes at the cellular level to some degree. In clinical practice, these residual changes might largely account for the evolution of certain pathologies, including persistent diastolic dysfunction and subclinical LV dysfunction with variable symptomatology (particularly those arising during high levels of myocardial workload, including exercise, etc.) among TTC survivors. Within this context, the present review aims to highlight various clinical patterns and implications of LV dysfunction in the setting of TTC, and to provide basic information regarding morphological and mechanistic characteristics of wall-motion abnormalities in this setting.
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Affiliation(s)
- Kenan Yalta
- Trakya University, Cardiology Department Edirne, Turkey
| | | | - Cafer Zorkun
- Trakya University, Cardiology Department Edirne, Turkey
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407
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MR imaging of catecholamine-mediated myocarditis complicated by left ventricular thrombus. Diagn Interv Imaging 2018; 99:337-338. [DOI: 10.1016/j.diii.2018.01.001] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2017] [Revised: 01/02/2018] [Accepted: 01/08/2018] [Indexed: 12/23/2022]
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408
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Vilela E, Silva M, Guerreiro C, Caeiro D, Fonseca M, Primo J, Braga P, Gama V. Takotsubo syndrome and coronary vasospasm: Two faces of the same coin? Indian Heart J 2018; 70:455-458. [PMID: 29961469 PMCID: PMC6034106 DOI: 10.1016/j.ihj.2018.04.004] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2018] [Accepted: 04/09/2018] [Indexed: 01/25/2023] Open
Affiliation(s)
- Eduardo Vilela
- Cardiology Department, Vila Nova de Gaia/Espinho Hospital Centre Rua Conceição Fernandes, 4434-502, Vila Nova de Gaia, Portugal.
| | - Marisa Silva
- Cardiology Department, Vila Nova de Gaia/Espinho Hospital Centre Rua Conceição Fernandes, 4434-502, Vila Nova de Gaia, Portugal
| | - Cláudio Guerreiro
- Cardiology Department, Vila Nova de Gaia/Espinho Hospital Centre Rua Conceição Fernandes, 4434-502, Vila Nova de Gaia, Portugal
| | - Daniel Caeiro
- Cardiology Department, Vila Nova de Gaia/Espinho Hospital Centre Rua Conceição Fernandes, 4434-502, Vila Nova de Gaia, Portugal
| | - Marlene Fonseca
- Cardiology Department, Vila Nova de Gaia/Espinho Hospital Centre Rua Conceição Fernandes, 4434-502, Vila Nova de Gaia, Portugal
| | - João Primo
- Cardiology Department, Vila Nova de Gaia/Espinho Hospital Centre Rua Conceição Fernandes, 4434-502, Vila Nova de Gaia, Portugal
| | - Pedro Braga
- Cardiology Department, Vila Nova de Gaia/Espinho Hospital Centre Rua Conceição Fernandes, 4434-502, Vila Nova de Gaia, Portugal
| | - Vasco Gama
- Cardiology Department, Vila Nova de Gaia/Espinho Hospital Centre Rua Conceição Fernandes, 4434-502, Vila Nova de Gaia, Portugal
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409
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Fernández-Ferreira R, Morales-Victorino N, Herrera-Gomar M, Alcántara-Meléndez MA, García-Graullera M, González-Chon O, García-López SM. Stress induced cardiomyopathy due to a Mexican earthquake. ARCHIVOS DE CARDIOLOGIA DE MEXICO 2018; 88:219-224. [PMID: 29606490 DOI: 10.1016/j.acmx.2018.02.008] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2017] [Revised: 02/23/2018] [Accepted: 02/23/2018] [Indexed: 11/26/2022] Open
Abstract
Takotsubo Cardiomyopathy mainly occurs in postmenopausal women, with or without cardiovascular disease, and is commonly associated with emotional or physical stress. After nearly 27 years of extensive efforts towards a better understanding of this disorder, current knowledge remains limited. Many people suffer post-traumatic stress, and this situation can be associated to stress cardiomyopathy. The case is presented of a female who suffers stress associated with the earthquake of 19 September 2017 in Mexico City, and arrived in the Emergency Department in cardiogenic shock.
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Affiliation(s)
| | | | - Magali Herrera-Gomar
- Coronary Care Unit Department, Médica Sur Clinic & Foundation, México City, Mexico
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410
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Wellens HJ. Giant T-wave changes after termination of atrial fibrillation. Heart Rhythm 2018; 15:629-630. [PMID: 29605016 DOI: 10.1016/j.hrthm.2017.09.029] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/09/2017] [Indexed: 11/24/2022]
Affiliation(s)
- Hein J Wellens
- Cardiovascular Research Institute, Maastricht, The Netherlands.
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411
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Marafioti V, Turri G, Carbone V, Monaco S. Association of prolonged QTc interval with Takotsubo cardiomyopathy: A neurocardiac syndrome inside the mystery of the insula of Reil. Clin Cardiol 2018; 41:551-555. [PMID: 29663451 PMCID: PMC6490097 DOI: 10.1002/clc.22910] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/14/2017] [Revised: 01/22/2018] [Accepted: 01/24/2018] [Indexed: 12/16/2022] Open
Abstract
The Takotsubo cardiomyopathy is often considered autochthonous to the heart, although the primary problem may be not in the heart muscle itself. Instead, similar to several Takotsubo-like cardiac pathologies seen in acute neurological diseases, it may reflect the capacity of the nervous system to injure the heart. Persuasive evidence exists that shocking emotional stress promotes direct heart injuries. Moreover, clinical and laboratory research shows that cardiac structural damage can occur in the presence of a normal heart, especially in the context of seizures, stroke, and traumatic brain injury or under conditions of psychological stress. The aim of this review is to summarize the clinical implications of these observations, several of which focus on the pivotal role of the insula of Reil in the brain-heart connection, to unravel the mystery of Takotsubo cardiomyopathy pathogenesis.
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Affiliation(s)
- Vincenzo Marafioti
- Cardiovascular and Thoracic DepartmentUniversity Hospital of VeronaVeronaItaly
| | - Giulia Turri
- Department of Neurological and Movement SciencesUniversity Hospital of VeronaVeronaItaly
| | - Vincenzo Carbone
- Department of Medicine and PharmacologyUniversity Hospital of MessinaMessinaItaly
| | - Salvatore Monaco
- Department of Neurological and Movement SciencesUniversity Hospital of VeronaVeronaItaly
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412
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Ranieri M, Finsterer J, Bedini G, Parati EA, Bersano A. Takotsubo Syndrome: Clinical Features, Pathogenesis, Treatment, and Relationship with Cerebrovascular Diseases. Curr Neurol Neurosci Rep 2018; 18:20. [PMID: 29569186 DOI: 10.1007/s11910-018-0833-7] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/27/2023]
Abstract
PURPOSE OF REVIEW This review paper aims to provide a complete and updated overview on the clinical and pathophysiological aspects of Takotsubo syndrome (TTS), including prognosis, therapy, and the association with cerebrovascular conditions. RECENT FINDINGS TTS is an increasingly recognized non-ischemic cardiomyopathy characterized by sudden, temporary weakening of the myocardium, of which the pathogenesis is unknown. Although pathogenesis of TTS remains unclear, a complex interaction between catecholamine-mediated stimulation, myocardial stunning, and subsequent stress-related myocardial dysfunction seems to be the main pathophysiological mechanism. Stroke is linked to TTS by a dual relationship since it may induce TTS by catecholamine release even if TTS itself also may be complicated by left ventricular thrombi leading to stroke. Given its possible complications, including the association with neurological diseases, both cardiologist and neurologists should be aware about TTS in order to diagnose it promptly and to initiate appropriate therapeutic measures.
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Affiliation(s)
- M Ranieri
- Cerebrovascular Disease Unit, IRCCS Foundation "C. Besta", Neurological Institute, Milan, Italy
| | - J Finsterer
- Krankenanstalt Rudolfstiftung, Vienna, Austria
| | - G Bedini
- Laboratory of Cellular Neurobiology, IRCCS Foundation "C. Besta", Neurological Institute, Milan, Italy
| | - E A Parati
- Cerebrovascular Disease Unit, IRCCS Foundation "C. Besta", Neurological Institute, Milan, Italy
| | - A Bersano
- Cerebrovascular Disease Unit, IRCCS Foundation "C. Besta", Neurological Institute, Milan, Italy. .,Fondazione IRCCS Istituto Neurologico "Carlo Besta", Via Celoria 11, 20133, Milan, Italy.
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413
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Madias JE. Diabetes mellitus prevalence in patients with takotsubo syndrome: the case of the brain-heart disconnect. Heart Lung 2018; 47:222-225. [PMID: 29573816 DOI: 10.1016/j.hrtlng.2018.02.007] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2017] [Accepted: 02/21/2018] [Indexed: 11/28/2022]
Abstract
BACKGROUND Hyperactive autonomic nervous system (ANS) is among the postulated pathophysiologic mechanisms of takotsubo syndrome (TTS). Diabetes mellitus (DM) with its associated ANS peripheral neuropathy could exert a "protective" influence for the emergence of TTS. METHODS A patient-based meta-analysis of the data obtained from all patients presented individually was carried out, focusing on age, gender, and history of hypertension (HTN) and DM. RESULTS The prevalences of HTN and DM for all 2,342 patients, aged 61.1 ± 17.3, 85.1% female, were 37.4% and 9.5%, for patients ≥ 60 years old were 45.8% and 11.7%, and for patients ≥65 years old were 48.2% and 12.3%, correspondingly. The prevalence of DM in patients with TTS is less than half of the world's and USA's elderly populations. CONCLUSIONS Prevalence of DM in patients with TTS is lower than in the general population, suggesting that DM, may have a "protective" effect for the emergence of TTS.
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Affiliation(s)
- John E Madias
- Icahn School of Medicine at Mount Sinai, New York, NY; Division of Cardiology, Elmhurst Hospital Center, Elmhurst, NY.
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414
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Pelliccia F, Gaudio C. The elusive link between sex hormone levels and Takotsubo syndrome. Int J Cardiol 2018; 250:58-59. [PMID: 29169761 DOI: 10.1016/j.ijcard.2017.10.072] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/14/2017] [Accepted: 10/17/2017] [Indexed: 10/18/2022]
Affiliation(s)
| | - Carlo Gaudio
- Department of Cardiovascular Sciences, Sapienza University, Rome, Italy
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415
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de Bliek EC. ST elevation: Differential diagnosis and caveats. A comprehensive review to help distinguish ST elevation myocardial infarction from nonischemic etiologies of ST elevation. Turk J Emerg Med 2018; 18:1-10. [PMID: 29942875 PMCID: PMC6009807 DOI: 10.1016/j.tjem.2018.01.008] [Citation(s) in RCA: 25] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2017] [Revised: 01/28/2018] [Accepted: 01/31/2018] [Indexed: 12/22/2022] Open
Abstract
Prompt diagnosis of acute ST segment elevation myocardial infarction (STEMI) by the initial ECG is important in order to perform an urgent coronary angiography as soon as possible and achieve successful revascularization, therewith improving mortality and morbidity. Several diseases and conditions can mimic an acute myocardial infarction (AMI) but may not benefit from a (percutaneous) revascularization strategy. This narrative clinical review will discuss the ECG features of some of the causes of non-ischemic ST segment elevation to facilitate early recognition, prevent wrongful diagnosis and improve treatment outcomes.
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416
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Indolfi C, Spaccarotella C, Yasuda M, De Rosa S. The outlook of prognostic indicators for the Takotsubo syndrome. Int J Cardiol 2018; 255:158-159. [DOI: 10.1016/j.ijcard.2018.01.012] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/28/2017] [Accepted: 01/02/2018] [Indexed: 11/28/2022]
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417
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Spartalis M, Voudris V, Iliopoulos DC, Spartalis E, Siasos G. Acute transient myocardial ischemia: A common pathophysiological mechanism in takotsubo syndrome. Is it still a cardiomyopathy? J Cardiol 2018; 72:176. [PMID: 29458995 DOI: 10.1016/j.jjcc.2018.01.008] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/09/2018] [Accepted: 01/12/2018] [Indexed: 12/07/2022]
Affiliation(s)
- Michael Spartalis
- Division of Cardiology, Onassis Cardiac Surgery Center, Athens, Greece; ESC Working Group on Thrombosis, Sophia Antipolis, Cannes, France.
| | - Vassilis Voudris
- Division of Cardiology, Onassis Cardiac Surgery Center, Athens, Greece
| | - Dimitrios C Iliopoulos
- Laboratory of Experimental Surgery and Surgical Research, University of Athens Medical School, Athens, Greece
| | - Eleftherios Spartalis
- Laboratory of Experimental Surgery and Surgical Research, University of Athens Medical School, Athens, Greece
| | - Gerasimos Siasos
- 1st Department of Cardiology, Hippokration Hospital, National and Kapodistrian University of Athens, Medical School, Athens, Greece
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418
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Pelliccia F, Gaudio C. Diastolic function in Takotsubo: Looking for a new piece of a complex puzzle. Int J Cardiol 2018; 244:84-85. [PMID: 28784455 DOI: 10.1016/j.ijcard.2017.06.103] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/24/2017] [Accepted: 06/26/2017] [Indexed: 11/17/2022]
Affiliation(s)
| | - Carlo Gaudio
- Department of Cardiovascular Sciences, Sapienza University, Rome, Italy
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419
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420
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Roghi A, Pedrotti P. The incremental role of cardiac magnetic resonance imaging as diagnostic and prognostic tool in cardiovascular diseases. HEART AND MIND 2018. [DOI: 10.4103/hm.hm_1_19] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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421
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Al-Hijji MA, Prasad A. Coronary vasomotor dysfunction in apical ballooning (Takotsubo) syndrome: An innocent bystander or a prime suspect? Int J Cardiol 2018; 250:56-57. [DOI: 10.1016/j.ijcard.2017.10.017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/14/2017] [Revised: 09/08/2017] [Accepted: 10/04/2017] [Indexed: 10/18/2022]
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422
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Benchmarking Heart Rate Variability to Overcome Sex-Related Bias. ADVANCES IN EXPERIMENTAL MEDICINE AND BIOLOGY 2018; 1065:191-205. [DOI: 10.1007/978-3-319-77932-4_13] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/04/2022]
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423
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Perez de la Hoz RA, Swieszkowski SP, Cintora FM, Aladio JM, Papini CM, Matsudo M, Scazziota AS. Neuroendocrine System Regulatory Mechanisms: Acute Coronary Syndrome and Stress Hyperglycaemia. Eur Cardiol 2018; 13:29-34. [PMID: 30310467 DOI: 10.15420/ecr.2017:19:3] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023] Open
Abstract
Neurohormonal systems are activated in the early phase of acute coronary syndromes to preserve circulatory homeostasis, but prolonged action of these stress hormones might be deleterious. Cortisol reaches its peak at 8 hours after the onset of symptoms, and individuals who have continued elevated levels present a worse prognosis. Catecholamines reach 100-1,000-fold their normal plasma concentration within 30 minutes of ischaemia, therefore inducing the propagation of myocardial damage. Stress hyperglycaemia induces inflammation and endothelial dysfunction, and also has procoagulant and prothrombotic effects. Patients with hyperglycaemia and no diabetes elevated in-hospital and 12-month mortality rates. Hyperglycaemia in patients without diabetes has been shown to be an appropriate independent mortality prognostic factor in this type of patient.
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Affiliation(s)
| | | | | | | | | | - Maia Matsudo
- School of Medicine, Buenos Aires University Buenos Aires, Argentina
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424
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Pelliccia F, Sinagra G, Elliott P, Parodi G, Basso C, Camici PG. Takotsubo is not a cardiomyopathy. Int J Cardiol 2017; 254:250-253. [PMID: 29242100 DOI: 10.1016/j.ijcard.2017.12.009] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/28/2017] [Accepted: 12/05/2017] [Indexed: 12/16/2022]
Abstract
Unraveling the mechanisms underlying Takotsubo (TTS) leads to question the current inclusion of the condition within the spectrum of cardiomyopathies. Indeed, the clinical presentation and pathophysiology of TTS clearly differ from cardiomyopathies, i.e. diseases of heart muscle unexplained by abnormal loading conditions or coronary artery disease, which cannot recover spontaneously and may cause sudden death often in minimally symptomatic individuals or result in a gradual deterioration in ventricular function and end-stage heart failure. Furthermore, the term 'cardiomyopathy' can no longer be applied when functional or morphologic abnormalities of the coronary arteries leading to acute myocardial ischemia are deemed responsible for left ventricular (LV) systolic dysfunction. After 27years of investigation, time has come to recognize that patients with TTS do suffer from severe myocardial ischemia and fulfill all criteria of acute coronary syndromes, i.e. acute chest pain, typical electrocardiographic changes, cardiac troponin rise, as well as LV wall motion abnormalities. Accordingly, we propose that TTS should be labeled as an acute 'syndrome' to be included more appropriately within the spectrum of ischemic heart disease. With regard to the term 'stress', it may imply that the catecholamine surge is essential to produce the typical transient myocardial injury. Thus, the terminology 'Takotsubo (stress) syndrome' would more accurately reflect recent advances in the pathophysiology.
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Affiliation(s)
| | - Gianfranco Sinagra
- Cardiovascular Department, Azienda Sanitaria-Universitaria Integrata of Trieste 'ASUITS', Trieste, Italy
| | - Perry Elliott
- Institute of Cardiovascular Science, University College London and St. Bartholomew's Hospital, London, United Kingdom
| | - Guido Parodi
- Clinical and Interventional Cardiology, Sassari University Hospital, Sassari, Italy
| | - Cristina Basso
- Department of Cardiac, Thoracic and Vascular Sciences, University of Padua Medical School, Padua, Italy
| | - Paolo G Camici
- Vita-Salute University and San Raffaele Hospital, Milan, Italy.
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425
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Stiermaier T, Eitel I. Letter by Stiermaier and Eitel Regarding Article, "Pathophysiology of Takotsubo Syndrome". Circulation 2017; 136:2293-2294. [PMID: 29203572 DOI: 10.1161/circulationaha.117.030080] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Affiliation(s)
- Thomas Stiermaier
- University Heart Center Lübeck, Medical Clinic II (Cardiology/Angiology/Intensive Care Medicine), Lübeck, Germany. German Center for Cardiovascular Research (Deutsches Zentrum für Herz-Kreislauf-Forschung), partner site Hamburg/Kiel/Lübeck, Lübeck
| | - Ingo Eitel
- University Heart Center Lübeck, Medical Clinic II (Cardiology/Angiology/Intensive Care Medicine), Lübeck, Germany. German Center for Cardiovascular Research (Deutsches Zentrum für Herz-Kreislauf-Forschung), partner site Hamburg/Kiel/Lübeck, Lübeck
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426
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Kotsiou OS, Gourgoulianis KI. Letter by Kotsiou and Gourgoulianis Regarding Article, "Pathophysiology of Takotsubo Syndrome". Circulation 2017; 136:2291-2292. [PMID: 29203571 DOI: 10.1161/circulationaha.117.030361] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Affiliation(s)
- Ourania S Kotsiou
- Department of Respiratory Medicine, University Hospital of Larissa, Faculty of Medicine, University of Thessaly, Larissa, Greece
| | - Konstantinos I Gourgoulianis
- Department of Respiratory Medicine, University Hospital of Larissa, Faculty of Medicine, University of Thessaly, Larissa, Greece
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427
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Duclos G, Mignon A, Zieleskiewicz L, Kelway C, Forel JM, Thuny F, Thomas PA, Leone M. Takotsubo Cardiomyopathy Following Induction of Anesthesia for Lung Transplantation, an Unexpected Complication. J Cardiothorac Vasc Anesth 2017; 32:1855-1857. [PMID: 29174749 DOI: 10.1053/j.jvca.2017.10.022] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/22/2017] [Indexed: 11/11/2022]
Affiliation(s)
- Gary Duclos
- Aix-Marseille University, Assistance Publique-Hôpitaux de Marseille (AP-HM), Service d'anesthésie et de réanimation, Hôpital Nord, Marseille, France.
| | - Alexandre Mignon
- Aix-Marseille University, Assistance Publique-Hôpitaux de Marseille (AP-HM), Service d'anesthésie et de réanimation, Hôpital Nord, Marseille, France
| | - Laurent Zieleskiewicz
- Aix-Marseille University, Assistance Publique-Hôpitaux de Marseille (AP-HM), Service d'anesthésie et de réanimation, Hôpital Nord, Marseille, France
| | - Charlotte Kelway
- Aix-Marseille University, Assistance Publique-Hôpitaux de Marseille (AP-HM), Service de réanimation polyvalente et de poly-pathologie du foie, Hôpital de la Timone, Marseille, France
| | - Jean-Marie Forel
- Aix-Marseille University, Assistance Publique-Hôpitaux de Marseille (AP-HM), Réanimation détresses respiratoires et infection sévères, Hôpital Nord, Marseille, France
| | - Franck Thuny
- Aix-Marseille University, Assistance Publique-Hôpitaux de Marseille (AP-HM), Mediterranean University Cardio-Oncology Center (MEDI-CO Center), Unit of Heart Failure and Valvular Heart Diseases, Department of Cardiology, Hôpital Nord, Marseille, France
| | - Pascal-Alexandre Thomas
- Aix-Marseille University, Service de chirurgie thoracique et des maladies de l'oesophage, Hôpital Nord, Assistance Publique-Hôpitaux de Marseille (AP-HM), Marseille, France
| | - Marc Leone
- Aix-Marseille University, Assistance Publique-Hôpitaux de Marseille (AP-HM), Service d'anesthésie et de réanimation, Hôpital Nord, Marseille, France; Aix-Marseille University, Centre d'Investigation Clinique 1409, Assistance Publique-Hôpitaux de Marseille, Marseille, France
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428
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Madias JE. A proposal for a noninvasive monitoring of sympathetic nerve activity in patients with takotsubo syndrome. Med Hypotheses 2017; 109:97-101. [DOI: 10.1016/j.mehy.2017.10.006] [Citation(s) in RCA: 25] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2017] [Revised: 10/01/2017] [Accepted: 10/06/2017] [Indexed: 02/06/2023]
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429
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Cohen JG, Grenier F, D'Alnoncourt S, Reymond E, Blancher M, Peoc’h M, Scolan V, Ferretti G, Bouzat P. Asphyxia after complete avalanche burial: A new paradigm. Resuscitation 2017; 118:e1-e2. [DOI: 10.1016/j.resuscitation.2017.07.015] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2017] [Accepted: 07/18/2017] [Indexed: 10/19/2022]
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