Tako-Tsubo cardiomyopathy associated with maintenance hemodialysis (Case Study and Review)
Abstract
Tako-Tsubo Cardiomyopathy (TCM), also known as stress-induced cardiomyopathy, “broken heart syndrome” or transient left ventricular apical ballooning syndrom is a recently described cardiac condition. TCM is an independent disease entity mimicking the clinical and instrumental presentation of acute coronary syndrome (ACS) in the absence of any evidence of obstructive atherosclerotic coronary artery lesion. Originally described in Japan, this syndrome is characterized by typical clinical and laboratory features of ACS in accordance with transient hypokinesis of the left ventricular apex. TCM occurs more often in postmenopausal elderly women and is associated with emotional or physical stress. In most cases TCM is benign and completely reversible condition. However close resemblance of clinical and instrumental manifistations of TCM to those of ACS is the cause of misdiagnosis at the early stage of the disease. The article presents a brief review of up to date data. TCM is a rare condition in patients with the end-stage renal disease. A case of TCM associated with maintenance hemodialysis is reported to our knowledge reported in the first time. We believe that stress during maintenance hemodialysis led to the TCM occurrence and therefore qualify this as a periprocedural complication.
About the Authors
E. M. Zeltyn-Abramov
A.I. Evdokimov Moscow State University of Medicine and Dentistry; Moscow City Hospital 52
Russian Federation
Russian Federation
L. U. Artyukhina
Moscow City Hospital 52
Russian Federation
Russian Federation
N. I. Belavina
Moscow City Hospital 52
Russian Federation
Russian Federation
D. V. Fettser
Moscow City Hospital 52
Russian Federation
Russian Federation
N. F. Frolova
Moscow City Hospital 52
Russian Federation
Russian Federation
N. V. Sokolova
Moscow City Hospital 52
Russian Federation
Russian Federation
References
1. Гиляревский С.Р. Кардиомиопатия такоцубо. Подходы к диагностике и лечению. М.: МЕДпресс-информ, 2013. 184 с.
2. Akashi Y.J., Tejima T., Sakurada H. et al. Left ventricular rupture associated with Takotsubo cardiomyopathy. Mayo Clin Proc. 2004 Jun. 79(6):821-4.
3. Allen D., Parmar G., Ravandi A. Happiness can break your heart: a rare case of takotsubo cardiomyopathy after good news. Can J Cardiol. 2015 Feb. 31(2):228.e1-2.
4. Aronow W.S. Neurogenic stress cardiomyopathy associated with subarachnoid hemorrhage. Future Cardiol. 2015 Jan. 11(1):77-87.
5. Bleser T., Weth C., Görge G. Reverse takotsubo cardiomyopathy-a life-threatening disease. Successful resuscitation of a 31-year-old woman with cardiologic shock after a visit to the dentist. Med Klin Intensivmed Notfmed. 2013 Nov. 108(8):675-8.
6. Bouabdallaoui N., Wang Z., Lecomte M. et al. Acute mitral regurgitation in Takotsubo cardiomyopathy. Eur Heart J Acute Cardiovasc Care. 2014 Feb. 3. PMID: 24493864
7. Bybee K.A., Kara T., Prasad A. et al. Systematic review: transient left ventricular apical ballooning: a syndrome that mimics ST-segment elevation myocardial infarction. Ann Intern Med. 2004. 141:858-865.
8. Citro R., Caso I., Provenza G. et al. Right ventricular involvement and pulmonary hypertension in an elderly woman with tako-tsubo cardiomyopathy. Chest. 2010. 137(4):973-5.
9. Daoko J., Rajachandran M., Savarese R. et al. Pathophysiology of the Syndrome Biventricular Takotsubo Cardiomyopathy. Tex Heart Inst J. 2013. 40(3):305-311.
10. De Backer O., Debonnaire P., Gevaert S. et al. Prevalence, associated factors and management implications of left ventricular outflow tract obstruction in takotsubo cardiomyopathy: a two-year, two-center experience. BMC Cardiovasc Disord. 2014 Oct 22. 14:147.
11. De Gregorio C., Grimaldi P., Lentini C. Left ventricular thrombus formation and cardioembolic complications in patients with Takotsubo-like syndrome: a systematic review. Int J Cardiol. 2008 Dec. 17. 131(1):18-24.
12. Doucet K.M., Labinaz M.X., Beauchesne L.M. et al. Cardiogenic shock in takotsubo cardiomyopathy: a focus on management. Can J Cardiol. 2015 Jan. 31(1):84-7.
13. Grander W., Schwaiger J., Seeber J. et al. Cyber war - when virtual fear of death turns into a real threat of life. Int J Cardiol. 2011 May. 19. 149(1):e16-7.
14. Eitel I., Schuler G., Gutberlet M. et al. Biventricular stress-induced (takotsubo) cardiomyopathy with left midventricular and right apical ballooning. Int J Cardiol. 2011. 151(2):e63-4.
15. Elesber A.A., Prasad A., Lennon R.J. et al. Four-year recurrence rate and prognosis of the apical ballooning syndrome. J Am Coll Cardiol. 2007. 50:448-452.
16. Fukui M., Mori Y., Tsujimoto S. et al. ‘Takotsubo’ cardiomyopathy in a maintenance hemodialysis patient. Ther Apher Dial. 2006 Feb. 10(1):94-100.
17. Gibson R., Chertoff J. Takotsubo’s cardiomyopathy with an uncommon complication: implications for management and treatment. Future Cardiol. 2015 Jan. 11(1):21-5.
18. Hammer N., Kühne C., Meixensberger J. et al. Takotsubo cardiomyopathy - An unexpected complication in spine surgery. Int J Surg Case Rep. 2015. 6C:172-4.
19. Hassan S., Hassan F., Hassan D. et al. Takotsubo cardiomyopathy associated with peritonitis in peritoneal dialysis patient. Ren Fail. 2011. 33(9):904-7.
20. Hernandez L.E. Takotsubo cardiomyopathy: how much do we know of this syndrome in children and young adults? Cardiol Youg. 2014 Aug. 24(4):580-92.
21. Kagiyama N., Okura H., Kume T. et al. Isolated right ventricular takotsubo cardiomyopathy. Eur Heart J Cardiovasc Imaging. 2014 Oct. 28. pii: jeu207.
22. Kawai S., Kitabatake A., Tomoike H. Guidelines for diagnosis of takotsubo (ampulla) cardiomyopathy. Circ J. 2007. 71:990-992.
23. Komamura K., Fukui M., Iwasaku T. et al. Takotsubo cardiomyopathy: Pathophysiology, diagnosis and treatment. World Journal of Cardiology. 2014. 6(7):602-609.
24. Koci F., Eltibi R., Hadley M. et al. Necrotic bowel induces takotsubo-like myocardial injury. Tex Heart Inst J. 2014 Dec 1. 41(6):638-40.
25. Kumar S., Kaushik S., Nautiyal A. et al. Cardiac rupture in takotsubo cardiomyopathy: a systematic review. Clin Cardiol. 2011 Nov. 34(11):672-6.
26. Liang J., Janish C., Bishu K. et al. Dynamic left ventricular outflow tract obstruction in apical ballooning syndrome (Takotsubo cardiomyopathy). Perfusion. 2015 Jan. 30(1):82-4.
27. Manzanal A., Ruiz L., Madrazo J. et al. Inverted takotsubo cardiomyopathy and the fundamental diagnostic role of echocardiography. Tex Heart Inst J. 2013. 40(1):56-9.
28. Maron B.J., Towbin J.A., Thiene G. et al. Contemporary definitions and classification of the cardiomyopathies: an American Heart Association Scientific Statement from the Council on Clinical Cardiology, Heart Failure and Transplantation Committee; Quality of Care and Outcomes Research and Functional Genomics and Translational Biology Interdisciplinary Working Groups; and Council on Epidemiology and Prevention. Circulation. 2006. 113:1807-1816.
29. Minatoguchi M., Itakura A., Takagi E et al. Takotsubo cardiomyopathy after cesarean: a case report and published work review of pregnancy-related cases. J Obstet Gynaecol Res. 2014 Jun. 40(6):1534-9.
30. Muratsu J., Morishima A., Ueda H. et al. Takotsubo Cardiomyopathy in Two Patients without Any Cardiac Symptom on Maintenance Hemodialysis. Case reports in nephrology. 2013. 2013:640976.
31. Musone D., Nicosia V., D’Alessandro R. et al. Acute heart failure secondary to takotsubo cardiomyopathy in a patient on peritoneal dialysis with residual renal function loss. G Ital Nefrol. 2012. Jul-Aug. 29(4):467-72.
32. Pelliccia F., Parodi G., Greco C. et al. Comorbidities Frequency in Takotsubo Syndrome: An International Collaborative Systematic Review Including 1,109 Patients. Am J Med. 2015 Feb 3. pii: S0002-9343(15)00089-3. doi: 10.1016/j.amjmed.2015.01.016. [Epub ahead of print]
33. Prasad A., Lerman A., Rihal C.S. Apical ballooning syndrome (Tako-Tsubo or stress cardiomyopathy): a mimic of acute myocardial infarction. Am Heart J. 2008. 155:408-417.
34. Primetshofer D., Agladze R., Kratzer H. et al. Tako-Tsubo syndrome: an important differential diagnosis in patients with acute chest pain. Wien Klin Wochenschr. 2010 Jan. 122 (1-2):37-44.
35. Rennyson S.L., Parker J.M., Symanski J.D. Recurrent, severe, and rapidly reversible apical ballooning syndrome in status asthmaticus. Heart Lung. 2010 Nov-Dec. 39(6):537-9.
36. Rodriguez-Castro C.E., Saifuddin F., Porres-Aguilar M. et al. Reverse takotsubo cardiomyopathy with use of male enhancers. Proc (Bayl Univ Med Cent). 2015 Jan. 28(1):78-80.
37. Sato H., Taiteishi H., Uchida T. et al. Takotsubo-type cardiomyopathy due to multivessel spasm. In: Kodama K., Haze K., Hon M. Clinical aspect of myocardial injury: from ischemia to heart failure. Tokyo: Kagakuhyouronsha. 1990. Р. 56-64.
38. Sawamoto K., Hase M., Uemura S. et al. Takotsubo cardiomyopathy induced by suicidal hanging. J Emerg Med. 2015 Feb. 48(2):e35-8.
39. Savall F., Dedouit F., Telmon N. et al. Takotsubo cardiomyopathy in a jeweler following a hold-up: forensic considerations. J Forensic Sci. 2013 Nov. 58(6):1648-50.
40. Sharkey S.W., Windenburg D.C., Lesser J.R. et al. Natural history and expansive clinical profile of stress (tako-tsubo) cardiomyopathy. J Am Coll Cardiol. 2010. 55:333-341.
41. Shimada M., Rose J.D. Takotsubo cardiomyopathy secondary to intracranial hemorrhage. Int J Emerg Med. 2014 Sep. 4. 7:33.
42. Shin M.J., Rhee H., Kim I.Y. et al. Clinical features of patients with stress-induced cardiomyopathy associated with renal dysfunction: 7 case series in single center. BMC Nephrology. 2013. 14:213.
43. Suzuki T., Nemoto C., Ikegami Y. et al. Development of takotsubo cardiomyopathy with severe pulmonary edema before a cesarean section. Anesth. 2014 Feb. 28(1):121-4.
Review
For citations:
Zeltyn-Abramov E.M., Artyukhina L.U., Belavina N.I., Fettser D.V., Frolova N.F., Sokolova N.V. Tako-Tsubo cardiomyopathy associated with maintenance hemodialysis (Case Study and Review). Nephrology and Dialysis. 2015;17(2):210-215. (In Russ.)
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