Editorial comment

Abstract

Cardio-renal cross talks are currently one of the key issues for nephrology, and cardio-renal syndrome is not only widely discussed in literature, but also well defined in clinical setting. Today we would like to draw your attention to case report of a rare syndrome, not only ever been discussed before in the Journal “Nephrology and Dialysis”, but in fact extremely rare observed in patients with ESRD. Authors provide interesting literature data concerning pathogenesis, clinical presentation and work-up findings in the specific type of cardiac damage - Takotsubo cardiomyopathy, firstly described in 1990, and present a case of Takotsubo cardiomyopathy developed during hemodialysis session. Of note, the authors concern hemodialysis procedure itself as a stress trigger for Takotsubo cardiomyopathy. We feel that such straightforward explanation may be somehow confusing. Lack of the information about the details of the hemodialysis session preceding heart attack, and also about the tolerance of hemodialysis treatment and syndialysis complications in the patient treated with hemodialysis for more that a year pose a natural question - why that particular HD session was so stressful for the patient and lead to such serious, life-threatening and unusual complication? We hope that presented case will raise an interest of the audience and update the knowledge of practitioners about the spectrum of cardiac damage in patients with CKD, including dialysis population.