Takotsubo cardiomyopathy in patients undergoing haemodialysis - mini review apropos of a case
Autor(a) principal: | |
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Data de Publicação: | 2016 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-01692016000100003 |
Resumo: | Takotsubo cardiomyopathy is an uncommon clinical entity that mimics acute coronary syndrome (ACS) and may be underdiagnosed among haemodialysis (HD) patients. This topic is, therefore, reviewed based on a clinical case of a 68-year-old woman undergoing haemodialysis. Usually, Takotsubo cardiomyopathy presents itself as an acute myocardial infarction. However unlike ACS, neither a coronary obstructive disease is found nor do cardiac biomarkers correlate with the extensive wall motions defects (apical and midventricular kinesis dysfunction along with basal hypermotility). This defect translates into a jarshaped appearance in ventriculography, and therefore its Takotsubo name (octopus trap, in Japanese tako means octopus and tsubo means jar). So far, data available from animal models and its resemblance with pheochromocytoma-induced cardiomyopathy suggests that an adrenergic surge might be an underlying mechanism. The overlapping clinical features of takotsubo cardiomyopathy and ACS, the high prevalence of cardiovascular risk factors and the already superimposed cardiovascular disease in chronic kidney disease make it difficult to diagnose among these patients |
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Takotsubo cardiomyopathy in patients undergoing haemodialysis - mini review apropos of a caseApical balooning syndromehaemodialysisstress cardiomyopathysympathetic nervous systemtakotsubo cardiomyopathyTakotsubo cardiomyopathy is an uncommon clinical entity that mimics acute coronary syndrome (ACS) and may be underdiagnosed among haemodialysis (HD) patients. This topic is, therefore, reviewed based on a clinical case of a 68-year-old woman undergoing haemodialysis. Usually, Takotsubo cardiomyopathy presents itself as an acute myocardial infarction. However unlike ACS, neither a coronary obstructive disease is found nor do cardiac biomarkers correlate with the extensive wall motions defects (apical and midventricular kinesis dysfunction along with basal hypermotility). This defect translates into a jarshaped appearance in ventriculography, and therefore its Takotsubo name (octopus trap, in Japanese tako means octopus and tsubo means jar). So far, data available from animal models and its resemblance with pheochromocytoma-induced cardiomyopathy suggests that an adrenergic surge might be an underlying mechanism. The overlapping clinical features of takotsubo cardiomyopathy and ACS, the high prevalence of cardiovascular risk factors and the already superimposed cardiovascular disease in chronic kidney disease make it difficult to diagnose among these patientsSociedade Portuguesa de Nefrologia2016-03-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articletext/htmlhttp://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-01692016000100003Portuguese Journal of Nephrology & Hypertension v.30 n.1 2016reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttp://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-01692016000100003Torres,João Carlos SousaBirne,Rita LorenaPereira,Tiago AssisSousa,Henrique SilvaCalenga,AntóniaBranco,PatríciaGaspar,Maria AugustaBarata,José Diogoinfo:eu-repo/semantics/openAccess2024-02-06T17:04:51Zoai:scielo:S0872-01692016000100003Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T02:18:56.078872Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Takotsubo cardiomyopathy in patients undergoing haemodialysis - mini review apropos of a case |
title |
Takotsubo cardiomyopathy in patients undergoing haemodialysis - mini review apropos of a case |
spellingShingle |
Takotsubo cardiomyopathy in patients undergoing haemodialysis - mini review apropos of a case Torres,João Carlos Sousa Apical balooning syndrome haemodialysis stress cardiomyopathy sympathetic nervous system takotsubo cardiomyopathy |
title_short |
Takotsubo cardiomyopathy in patients undergoing haemodialysis - mini review apropos of a case |
title_full |
Takotsubo cardiomyopathy in patients undergoing haemodialysis - mini review apropos of a case |
title_fullStr |
Takotsubo cardiomyopathy in patients undergoing haemodialysis - mini review apropos of a case |
title_full_unstemmed |
Takotsubo cardiomyopathy in patients undergoing haemodialysis - mini review apropos of a case |
title_sort |
Takotsubo cardiomyopathy in patients undergoing haemodialysis - mini review apropos of a case |
author |
Torres,João Carlos Sousa |
author_facet |
Torres,João Carlos Sousa Birne,Rita Lorena Pereira,Tiago Assis Sousa,Henrique Silva Calenga,Antónia Branco,Patrícia Gaspar,Maria Augusta Barata,José Diogo |
author_role |
author |
author2 |
Birne,Rita Lorena Pereira,Tiago Assis Sousa,Henrique Silva Calenga,Antónia Branco,Patrícia Gaspar,Maria Augusta Barata,José Diogo |
author2_role |
author author author author author author author |
dc.contributor.author.fl_str_mv |
Torres,João Carlos Sousa Birne,Rita Lorena Pereira,Tiago Assis Sousa,Henrique Silva Calenga,Antónia Branco,Patrícia Gaspar,Maria Augusta Barata,José Diogo |
dc.subject.por.fl_str_mv |
Apical balooning syndrome haemodialysis stress cardiomyopathy sympathetic nervous system takotsubo cardiomyopathy |
topic |
Apical balooning syndrome haemodialysis stress cardiomyopathy sympathetic nervous system takotsubo cardiomyopathy |
description |
Takotsubo cardiomyopathy is an uncommon clinical entity that mimics acute coronary syndrome (ACS) and may be underdiagnosed among haemodialysis (HD) patients. This topic is, therefore, reviewed based on a clinical case of a 68-year-old woman undergoing haemodialysis. Usually, Takotsubo cardiomyopathy presents itself as an acute myocardial infarction. However unlike ACS, neither a coronary obstructive disease is found nor do cardiac biomarkers correlate with the extensive wall motions defects (apical and midventricular kinesis dysfunction along with basal hypermotility). This defect translates into a jarshaped appearance in ventriculography, and therefore its Takotsubo name (octopus trap, in Japanese tako means octopus and tsubo means jar). So far, data available from animal models and its resemblance with pheochromocytoma-induced cardiomyopathy suggests that an adrenergic surge might be an underlying mechanism. The overlapping clinical features of takotsubo cardiomyopathy and ACS, the high prevalence of cardiovascular risk factors and the already superimposed cardiovascular disease in chronic kidney disease make it difficult to diagnose among these patients |
publishDate |
2016 |
dc.date.none.fl_str_mv |
2016-03-01 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-01692016000100003 |
url |
http://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-01692016000100003 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
http://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-01692016000100003 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Portuguesa de Nefrologia |
publisher.none.fl_str_mv |
Sociedade Portuguesa de Nefrologia |
dc.source.none.fl_str_mv |
Portuguese Journal of Nephrology & Hypertension v.30 n.1 2016 reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
repository.mail.fl_str_mv |
|
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1799137279586861056 |