Interventional Cardiology Management of a Cardiogenic Shock Induced by Takotsubo Cardiomyopathy at the Hospital Center of Montlucon: A Case Report

• 作者: Sylvain Chanseaume Mazou Ngou Temgoua Lise Camus Enver Hilic Thierry Comte Aline Billebault Nouhoun Diallo Assi Sami Gislain Beyina Joel Noutakdie Tochie
• 来源期刊: 心血管病(英文)
• 学科: 医学
• 关键词: Interventional Cardiology Management Cardiogenic Shock Takotsubo Cardiomyopathy
• 年，卷（期）: 2021,（1）
• 页码范围: 45-51
• 页数: 7页
• 分类号: R54

摘要

<strong>Background</strong><b><span style="font-family:Verdana;">: </span></b><span style="font-family:Verdana;">Takotsubo cardiomyopathy is frequently considered as a benign disorder. We present an atypical form with cardiogenic shock that was managed by interventional cardiology measures.</span><span style="font-family:Verdana;"> </span><b><span style="font-family:Verdana;">Case presentation</span></b><b><span style="font-family:Verdana;">: </span></b><span style="font-family:Verdana;">A 58</span><span style="font-family:Verdana;"> </span><span style="font-family:Verdana;">years old female patient with a past history of hypertension, obesity and multiple sclerosis was admitted at the Hospital Center of Montlucon for septic shock of urinary origin. During hospitalization in intensive care unit, the patient presented a markedly increasing of troponin levels with a diffused ST-segment elevation. Transthoracic Echocardiography showed an altered left ventricular ejection fraction at 35% with hypokinesia of apex and lateral ventricular segments in conjunction with compensatory hyperkinesis of the base;these findings were strongly suggestive of a diagnosis of Takotsubo cardiomyopathy. Despite concomitant anemia, renal failure and sepsis, all adequately treated with complete remission, the patient developed frequent episodes of ventricular tachycardia that prompted an emergency coronarography. During this procedure</span><span style="font-family:Verdana;">,</span><span style="font-family:Verdana;"> the patient presented a cardiogenic shock and bradyasystole that were successfully managed by intra-aortic balloon pumping and temporary transvenous pacing. Finally, there w</span><span style="font-family:Verdana;">ere</span><span style="font-family:Verdana;"> no coronary lesions and ventriculography confirmed a Takotsubo cardiomyopathy. Given the unstable hemodynamic status of this patient, she was addressed to the University Teaching Hospital of Clermont-Ferrand for more specialized care. </span><b><span style="font-family