title: [Levosimendan for septic shock with takotsubo cardiomyopathy].
abstract: As a stress-induced disease, takotsubo cardiomyopathy can also occur in septic syndromes; however, the hemodynamic management is fundamentally different from the treatment approaches for classical septic cardiomyopathy, as beta mimetics can increase the heart failure symptoms in takotsubo cardiomyopathy. This article reports the case of an 82-year-old female patient who presented with acute abdomen due to adhesion ileus and takotsubo cardiomyopathy, developed severe septic shock with peritonitis and could be successfully hemodynamically stabilized with levosimendan.
authors.affiliation: Klinik für Anästhesiologie und Intensivmedizin, Universitätsklinikum Freiburg, Hugstetter Str. 55, 79106, Freiburg, Deutschland. christoph-nils.schluermann@uniklinik-freiburg.de.
authors.forename: C-N
authors.initials: CN
authors.lastname: Schlürmann
authors.affiliation: Abteilung für Kardiologie und Angiologie, Universitätsherzzentrum Freiburg-Bad Krozingen, Standort Freiburg, Freiburg, Deutschland.
authors.forename: J
authors.initials: J
authors.lastname: Reinöhl
authors.affiliation: Klinik für Anästhesiologie und Intensivmedizin, Universitätsklinikum Freiburg, Hugstetter Str. 55, 79106, Freiburg, Deutschland.
authors.forename: J
authors.initials: J
authors.lastname: Kalbhenn
mesh_terms: D000006:Abdomen, Acute / Q000209:etiology / Q000628:therapy; D000369:Aged, 80 and over; D002316:Cardiotonic Agents / Q000627:therapeutic use*; D005260:Female; D006439:Hemodynamics; D006801:Humans; D006835:Hydrazones / Q000627:therapeutic use*; D045823:Ileus / Q000150:complications; D010538:Peritonitis / Q000150:complications; D011724:Pyridazines / Q000627:therapeutic use*; D015635:Radionuclide Ventriculography; D012772:Shock, Septic / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy*; D000077464:Simendan; D054549:Takotsubo Cardiomyopathy / Q000150:complications* / Q000175:diagnosis
chemical_list: D002316:Cardiotonic Agents; D006835:Hydrazones; D011724:Pyridazines; D000077464:Simendan
keywords: Adrenaline; Hemodynamics; Inotropic agents; Septic shock; Stress