An Unusual Case of Takotsubo Cardiomyopathy with Cardiac Arrest: The Importance of Clinical Context in Implanted Cardioverter Defibrillator Candidacy.

Autor:	Huang J; Internal Medicine Residency Program, University of South Dakota Sanford School of Medicine, Sioux Falls, South Dakota., Saad Shaukat MH; Cardiovascular Disease Fellowship Program, University of South Dakota Sanford School of Medicine, Sioux Falls, South Dakota., Ahmed IM; Internal Medicine Residency Program, University of South Dakota Sanford School of Medicine, Sioux Falls, South Dakota., Pham S; Sanford Cardiovascular Institute, Sanford USD Medical Center, Sioux Falls, South Dakota.; Department of Internal Medicine, University of South Dakota Sanford School of Medicine, Sioux Falls, South Dakota.
Jazyk:	angličtina
Zdroj:	South Dakota medicine : the journal of the South Dakota State Medical Association [S D Med] 2024 Jun; Vol. 77 (6), pp. 258-261.
Abstrakt:	Takotsubo syndrome (TTS), also known as stress-induced cardiomyopathy, is characterized by acute heart failure, reversible left ventricular dysfunction, and other complications such as life-threatening arrhythmias. The management of TTS is challenging due to its unpredictable clinical course and the lack of evidence-based treatment recommendations. In this case report, we present a 71-year-old female who developed TTS with ventricular tachycardia (VT) cardiac arrest following septic shock and an exploratory laparotomy for appendicitis. Despite the presence of VT cardiac arrest and a left ventricular ejection fraction of 30-35%, an implanted cardioverter-defibrillator (ICD) was not indicated due to the rapid and satisfactory recovery of the patient's ventricular function. This case highlights the importance of considering the clinical context and the transient nature of TTS in the decision-making process for ICD candidacy. (Copyright© South Dakota State Medical Association.)
Databáze:	MEDLINE
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