Cardiogenic shock induced by Takotsubo cardiomyopathy: A new therapeutic option.
Takotsubo cardiomyopathy (TC) is characterized by the sudden onset of reversible left ventricular dysfunction, with a presentation similar to that of an acute coronary syndrome. Although cardiogenic shock is a rare occurrence in TC, if it does occur it may require the use of a left ventricular assist device. We report the use of extracorporeal life support (ECLS) in a patient with TC and refractory cardiogenic shock. With ECLS it was possible to reduce inotropic support, and a normal left ventricular ejection fraction was documented by echocardiography on day 2. This is, to our knowledge, the first reported case of TC with refractory cardiogenic shock treated with ECLS in Portugal.
Department of Cardiology, Vila Nova de Gaia/Espinho Hospital Center, Portugal. Electronic address: marisa.passos.silva@gmail.com.
Marisa Passos
MP
Silva
Department of Cardiology, Vila Nova de Gaia/Espinho Hospital Center, Portugal.
Eduardo Matos
EM
Vilela
Department of Cardiology, Vila Nova de Gaia/Espinho Hospital Center, Portugal; Department of Physiology and Cardiothoracic Surgery, Faculty of Medicine of the University of Porto, Portugal.
Ricardo Ladeiras
RL
Lopes
Department of Cardiology, Vila Nova de Gaia/Espinho Hospital Center, Portugal.
Gustavo Pires
GP
de Morais
Department of Anesthesiology, Vila Nova de Gaia/Espinho Hospital Center, Portugal.
Paula
P
Fernandes
Department of Cardiology, Vila Nova de Gaia/Espinho Hospital Center, Portugal.
Lino
L
Santos
Department of Cardiology, Vila Nova de Gaia/Espinho Hospital Center, Portugal.
Adelaide
A
Dias
Department of Cardiology, Vila Nova de Gaia/Espinho Hospital Center, Portugal.
Vasco Gama
VG
Ribeiro
D015199:Extracorporeal Membrane Oxygenation; D006353:Heart-Assist Devices; D006801:Humans; D011174:Portugal; D012770:Shock, Cardiogenic; D054549:Takotsubo Cardiomyopathy / Q000628:therapy*
Cardiogenic shock; Choque cardiogénico; Extracorporeal life support; Miocardiopatia de Takotsubo; Suporte de vida extracorporal; Takotsubo cardiomyopathy