Stress cardiomyopathy natural history, complications and prognosis
Stress cardiomyopathy Microchapters |
Diagnosis |
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Treatment |
Unstable angina/non ST elevation myocardial infarction in Stress (Takotsubo) Cardiomyopathy |
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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. 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.