title: [Takotsubo cardiomyopathy in the context of Staphylococcus aureus sepsis].
abstract: Takotsubo cardiomyopathy consists of a transient dysfunction of the left ventricle. It is characterised by an impaired left ventricular segmentary contractility, without significant coronary lesions in the coronary angiography. It usually occurs after an episode of physical or emotional stress. We present the case of a 70 year-old woman, who, in the postoperative period of an ankle osteosynthesis, developed a Takotsubo cardiomyopathy in the context of a sepsis caused by Staphylococcus aureus. She presented with acute lung oedema and a clinical picture of low cardiac output. The echocardiogram showed left ventricular medioapical akinesia. Coronary angiography was normal. She was treated with supportive measures with good progress. At 33 days from onset she was able to be discharged from hospital to home with normal systolic function on echocardiography.
authors.affiliation: Servicio de Anestesiología y Reanimación, Hospital Lucus Augusti, Lugo, España. Electronic address: donuneza@gmail.com.
authors.forename: D
authors.initials: D
authors.lastname: Núñez
authors.affiliation: Servicio de Anestesiología y Reanimación, Hospital Lucus Augusti, Lugo, España.
authors.forename: R
authors.initials: R
authors.lastname: Bermejo
authors.affiliation: Servicio de Anestesiología y Reanimación, Hospital Lucus Augusti, Lugo, España.
authors.forename: A
authors.initials: A
authors.lastname: Rodríguez-Velasco
mesh_terms: D000368:Aged; D064386:Ankle Fractures / Q000601:surgery; D001281:Atrial Fibrillation / Q000150:complications / Q000188:drug therapy; D016470:Bacteremia / Q000150:complications*; D002317:Cardiovascular Agents / Q000627:therapeutic use; D005260:Female; D005593:Fracture Fixation, Internal; D006801:Humans; D011183:Postoperative Complications / Q000209:etiology*; D013203:Staphylococcal Infections / Q000150:complications*; D054549:Takotsubo Cardiomyopathy / Q000000981:diagnostic imaging / Q000209:etiology*
chemical_list: D002317:Cardiovascular Agents
keywords: 2-D echocardiography; Cardiomiopatía de Takotsubo; Critical care; Cuidados críticos; Disfunción ventricular izquierda; Ecocardiografía 2D; Estrés fisiológico; Estrés psicológico; Left ventricular dysfunction; Physiological stress; Psychological stress; Takotsubo cardiomyopathy