Stress cardiomyopathy natural history, complications and prognosis: Difference between revisions
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*[[Cardiogenic shock]] | *[[Cardiogenic shock]] | ||
*[[Arrythmias]], mainly [[QT prolongation]] | *[[Arrythmias]], mainly [[QT prolongation]] | ||
*Left ventricular mural thrombus | *[[Left ventricular]] [[mural thrombus]] | ||
*Mitral valve dysfunction pulmonary embolism | *[[Mitral valve]] dysfunction [[pulmonary embolism]] | ||
*[[LV]] [[free wall rupture]] | *[[LV]] [[free wall rupture]] | ||
*[[Myocardial rupture|Heart rupture]] | *[[Myocardial rupture|Heart rupture]] | ||
Revision as of 23:17, 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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Case Studies |
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Stress cardiomyopathy natural history, complications and prognosis On the Web |
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FDA on Stress cardiomyopathy natural history, complications and prognosis |
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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][3]
- Heart failure
- Pulmonary edema
- Cardiogenic shock
- Arrythmias, mainly QT prolongation
- Left ventricular mural thrombus
- Mitral valve dysfunction pulmonary embolism
- 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 and mortality rate in patients with stress cardiomyopathy ranges from 0-8%.[1][3]
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.
- ↑ 3.0 3.1 3.2 Brenner ZR, Powers J (2008). "Takotsubo cardiomyopathy". Heart Lung. 37 (1): 1–7. doi:10.1016/j.hrtlng.2006.12.003. PMID 18206521.