Stress cardiomyopathy natural history, complications and prognosis: Difference between revisions
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==Prognosis== | ==Prognosis== | ||
The prognosis of stress cardiomyopathy is generally good, even without medical therapy. Most patients have a restored cardiac function within a few weeks. However, fatal complications such as [[Left ventricle|LV]] [[free wall rupture]] and [[Myocardial rupture|heart rupture]] may occur.<ref name="pmid19106400">{{cite journal |vauthors=Akashi YJ, Goldstein DS, Barbaro G, Ueyama T |title=Takotsubo cardiomyopathy: a new form of acute, reversible heart failure |journal=Circulation |volume=118 |issue=25 |pages=2754–62 |year=2008 |pmid=19106400 |pmc=4893309 |doi=10.1161/CIRCULATIONAHA.108.767012 |url=}}</ref> | The prognosis of stress cardiomyopathy is generally good, even without medical therapy.<ref name="pmid18206521">{{cite journal |vauthors=Brenner ZR, Powers J |title=Takotsubo cardiomyopathy |journal=Heart Lung |volume=37 |issue=1 |pages=1–7 |year=2008 |pmid=18206521 |doi=10.1016/j.hrtlng.2006.12.003 |url=}}</ref> Most patients have a restored cardiac function within a few weeks. However, fatal complications such as [[Left ventricle|LV]] [[free wall rupture]] and [[Myocardial rupture|heart rupture]] may occur.<ref name="pmid19106400">{{cite journal |vauthors=Akashi YJ, Goldstein DS, Barbaro G, Ueyama T |title=Takotsubo cardiomyopathy: a new form of acute, reversible heart failure |journal=Circulation |volume=118 |issue=25 |pages=2754–62 |year=2008 |pmid=19106400 |pmc=4893309 |doi=10.1161/CIRCULATIONAHA.108.767012 |url=}}</ref> | ||
==References== | ==References== | ||
Revision as of 22:41, 6 January 2017
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Stress cardiomyopathy Microchapters |
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Diagnosis |
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Treatment |
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Unstable angina/non ST elevation myocardial infarction in Stress (Takotsubo) Cardiomyopathy |
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Stress cardiomyopathy natural history, complications and prognosis On the Web |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Natural History
Provided that patients survive the initial insult without any complications, most patients recover and have a normalized cardiac function within a few weeks.[1]
Complications
Complications of stress cardiomyopathy include:[1][2]
- Heart failure
- Pulmonary edema
- Cardiogenic shock
- Arrythmias, mainly QT prolongation
- LV free wall rupture
- Heart rupture
- Death
Prognosis
The prognosis of stress cardiomyopathy is generally good, even without medical therapy.[3] Most patients have a restored cardiac function within a few weeks. However, fatal complications such as LV free wall rupture and heart rupture may occur.[1]
References
- ↑ 1.0 1.1 1.2 Akashi YJ, Goldstein DS, Barbaro G, Ueyama T (2008). "Takotsubo cardiomyopathy: a new form of acute, reversible heart failure". Circulation. 118 (25): 2754–62. doi:10.1161/CIRCULATIONAHA.108.767012. PMC 4893309. PMID 19106400.
- ↑ Omerovic E (2011). "How to think about stress-induced cardiomyopathy?--Think "out of the box"!". Scand. Cardiovasc. J. 45 (2): 67–71. doi:10.3109/14017431.2011.565794. PMID 21401402.
- ↑ Brenner ZR, Powers J (2008). "Takotsubo cardiomyopathy". Heart Lung. 37 (1): 1–7. doi:10.1016/j.hrtlng.2006.12.003. PMID 18206521.