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Синдром Такоцубо после паллиативной транскатетерной коррекции приобретенного аортального стеноза у пациентки с врожденным дефектом межжелудочковой перегородки. Клиническое наблюдение
Комлев А.Е., Муксинова М.Д., Саидова М.А., Курилина Э.В., Имаев Т.Э. Синдром Такоцубо после паллиативной транскатетерной коррекции приобретенного аортального стеноза у пациентки с врожденным дефектом межжелудочковой перегородки. Клиническое наблюдение. Терапевтический архив. 2021; 93 (9): 1078–1085. DOI: 10.26442/00403660.2021.09.201031
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Komlev AE, Muksinova MD, Saidova MA, Kurilina EV, Imaev TE. Takotsubo syndrome after palliative transcatheter treatment of acquired aortic stenosis in patient with congenital ventricular septal defect. Case report. Terapevticheskii Arkhiv (Ter. Arkh.). 2021; 93 (9): 1078–1085. DOI: 10.26442/00403660.2021.09.201031
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Аннотация
Авторы приводят клиническое наблюдение вторичного синдрома Такоцубо после транскатетерной имплантации аортального клапана, предпринятой в качестве паллиативного вмешательства у пациентки с сочетанием врожденного дефекта межжелудочковой перегородки и приобретенного клапанного аортального стеноза. По мнению авторов, триггером синдрома Такоцубо в данном случае послужило критическое изменение внутрисердечной гемодинамики при ятрогенном воздействии на степень межжелудочкового шунтирования крови.
Ключевые слова: синдром Такоцубо, дефект межжелудочковой перегородки, транскатетерная имплантация аортального клапана
Ключевые слова: синдром Такоцубо, дефект межжелудочковой перегородки, транскатетерная имплантация аортального клапана
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The authors report the clinical case of secondary Takotsubo syndrome developed after transcatheter aortic valve replacement that was performed in compassionate manner in female patient with combination of congenital ventricular septal defect and acquired severe aortic stenosis. In the team’s view, Takotsubo syndrome was triggered with profound changes of intracardial hemodynamics subsequent to iatrogenic impairment of preexisting interventricular shunt.
Keywords: Takotsubo syndrome, ventricular septal defect, transcatheter aortic valve replacement
Полный текст
Список литературы
1. Prasad A, Dangas G, Srinivasan M, et al. Incidence and angiographic characteristics of patients With apical ballooning syndrome (takotsubo/stress cardiomyopathy) in the HORIZONS-AMI trial. Cathet Cardiovasc Intervent. 2013;83(3):343-8.
DOI:10.1002/ccd.23441
2. Bybee K, Prasad A, Barsness G, et al. Clinical characteristics and Thrombolysis In Myocardial Infarction frame counts in women with transient left ventricular apical ballooning syndrome. Am J Cardiol. 2004;94(3):343-6. DOI:10.1016/j.amjcard.2004.04.030
3. Redfors B, Vedad R, Angerås O, et al. Mortality in takotsubo syndrome is similar to mortality in myocardial infarction – A report from the SWEDEHEART registry. Int J Cardiol. 2015;185:282-9. DOI:10.1016/j.ijcard.2015.03.162
4. Templin C, Ghadri J, Diekmann J, et al. Clinical Features and Outcomes of Takotsubo (Stress) Cardiomyopathy. N Engl J Med. 2015;373(10):929-38. DOI:10.1056/nejmoa1406761
5. Y-Hassan S. Clinical features and outcome of epinephrine-induced takotsubo syndrome: Analysis of 33 published cases. Cardiovasc Revasc Med. 2016;17(7):450-5. DOI:10.1016/j.carrev.2016.07.005
6. Abraham J, Mudd J, Kapur N, et al. Stress Cardiomyopathy After Intravenous Administration of Catecholamines and Beta-Receptor Agonists. J Am Coll Cardiol. 2009;53(15):1320-5. DOI:10.1016/j.jacc.2009.02.020
7. Ansari U, El-Battrawy I, Fastner C, et al. Clinical outcomes associated with catecholamine use in patients diagnosed with Takotsubo cardiomyopathy. BMC Cardiovasc Disord. 2018;18(1). DOI:10.1186/s12872-018-0784-6
8. Mitchell A, Marquis F. Can takotsubo cardiomyopathy be diagnosed by autopsy? Report of a presumed case presenting as cardiac rupture. BMC Clin Pathol. 2017;17(1). DOI:10.1186/s12907-017-0045-0
9. Manes A, Palazzini M, Leci E, et al. Current era survival of patients with pulmonary arterial hypertension associated with congenital heart disease: a comparison between clinical subgroups. Eur Heart J. 2013;35(11):716-24. DOI:10.1093/eurheartj/eht072
10. Galiè N, Humbert M, Vachiery J, et al. 2015 ESC/ERS Guidelines for the diagnosis and treatment of pulmonary hypertension. Eur Heart J. 2015;37(1):67-119. DOI:10.1093/eurheartj/ehv317
11. Prasad A, Lerman A, Rihal C. Apical ballooning syndrome (Tako-Tsubo or stress cardiomyopathy): A mimic of acute myocardial infarction. Am Heart J. 2008;155(3):408-17. DOI:10.1016/j.ahj.2007.11.008
12. Ghadri J, Wittstein I, Prasad A, et al. International Expert Consensus Document on Takotsubo Syndrome (Part I): Clinical Characteristics, Diagnostic Criteria, and Pathophysiology. Eur Heart J. 2018;39(22):2032-46. DOI:10.1093/eurheartj/ehy076
13. Harhash A, Koulogiannis K, Marcoff L, et al. Cardiomyopathy After Transcatheter Aortic Valve Replacement. JACC Cardiovasc Interv. 2016;9(12):1302-4. DOI:10.1016/j.jcin.2016.04.017
14. Floras J, Ponikowski P. The sympathetic/parasympathetic imbalance in heart failure with reduced ejection fraction. Eur Heart J. 2015;36(30):1974-82. DOI:10.1093/eurheartj/ehv087
15. Madias J. Cardiac arrest-triggered takotsubo syndrome vs. takotsubo syndrome complicated by cardiac arrest. Int J Cardiol. 2016;225:142-3.
DOI:10.1016/j.ijcard.2016.09.090
16. Madias C, Fitzgibbons T, Alsheikh-Ali A, et al. Acquired long QT syndrome from stress cardiomyopathy is associated with ventricular arrhythmias and torsades de pointes. Heart Rhythm. 2011;8(4):555-61. DOI:10.1016/j.hrthm.2010.12.012
17. Migliore F, Zorzi A, Perazzolo Marra M, et al. Myocardial edema as a substrate of electrocardiographic abnormalities and life-threatening arrhythmias in reversible ventricular dysfunction of takotsubo cardiomyopathy: Imaging evidence, presumed mechanisms, and implications for therapy. Heart Rhythm. 2015;12(8):1867-77. DOI:10.1016/j.hrthm.2015.04.041
18. Gili S, Cammann V, Schlossbauer S, et al. Cardiac arrest in Takotsubo syndrome: results from the InterTAK Registry. Eur Heart J. 2019;40(26):2142-51. DOI:10.1093/eurheartj/ehz170
19. Lyon A, Bossone E, Schneider B, et al. Current state of knowledge on Takotsubo syndrome: А Position Statement from the Taskforce on Takotsubo Syndrome of the Heart Failure Association of the European Society of Cardiology. Eur J Heart Fail. 2015;18(1):8-27. DOI:10.1002/ejhf.424
DOI:10.1002/ccd.23441
2. Bybee K, Prasad A, Barsness G, et al. Clinical characteristics and Thrombolysis In Myocardial Infarction frame counts in women with transient left ventricular apical ballooning syndrome. Am J Cardiol. 2004;94(3):343-6. DOI:10.1016/j.amjcard.2004.04.030
3. Redfors B, Vedad R, Angerås O, et al. Mortality in takotsubo syndrome is similar to mortality in myocardial infarction – A report from the SWEDEHEART registry. Int J Cardiol. 2015;185:282-9. DOI:10.1016/j.ijcard.2015.03.162
4. Templin C, Ghadri J, Diekmann J, et al. Clinical Features and Outcomes of Takotsubo (Stress) Cardiomyopathy. N Engl J Med. 2015;373(10):929-38. DOI:10.1056/nejmoa1406761
5. Y-Hassan S. Clinical features and outcome of epinephrine-induced takotsubo syndrome: Analysis of 33 published cases. Cardiovasc Revasc Med. 2016;17(7):450-5. DOI:10.1016/j.carrev.2016.07.005
6. Abraham J, Mudd J, Kapur N, et al. Stress Cardiomyopathy After Intravenous Administration of Catecholamines and Beta-Receptor Agonists. J Am Coll Cardiol. 2009;53(15):1320-5. DOI:10.1016/j.jacc.2009.02.020
7. Ansari U, El-Battrawy I, Fastner C, et al. Clinical outcomes associated with catecholamine use in patients diagnosed with Takotsubo cardiomyopathy. BMC Cardiovasc Disord. 2018;18(1). DOI:10.1186/s12872-018-0784-6
8. Mitchell A, Marquis F. Can takotsubo cardiomyopathy be diagnosed by autopsy? Report of a presumed case presenting as cardiac rupture. BMC Clin Pathol. 2017;17(1). DOI:10.1186/s12907-017-0045-0
9. Manes A, Palazzini M, Leci E, et al. Current era survival of patients with pulmonary arterial hypertension associated with congenital heart disease: a comparison between clinical subgroups. Eur Heart J. 2013;35(11):716-24. DOI:10.1093/eurheartj/eht072
10. Galiè N, Humbert M, Vachiery J, et al. 2015 ESC/ERS Guidelines for the diagnosis and treatment of pulmonary hypertension. Eur Heart J. 2015;37(1):67-119. DOI:10.1093/eurheartj/ehv317
11. Prasad A, Lerman A, Rihal C. Apical ballooning syndrome (Tako-Tsubo or stress cardiomyopathy): A mimic of acute myocardial infarction. Am Heart J. 2008;155(3):408-17. DOI:10.1016/j.ahj.2007.11.008
12. Ghadri J, Wittstein I, Prasad A, et al. International Expert Consensus Document on Takotsubo Syndrome (Part I): Clinical Characteristics, Diagnostic Criteria, and Pathophysiology. Eur Heart J. 2018;39(22):2032-46. DOI:10.1093/eurheartj/ehy076
13. Harhash A, Koulogiannis K, Marcoff L, et al. Cardiomyopathy After Transcatheter Aortic Valve Replacement. JACC Cardiovasc Interv. 2016;9(12):1302-4. DOI:10.1016/j.jcin.2016.04.017
14. Floras J, Ponikowski P. The sympathetic/parasympathetic imbalance in heart failure with reduced ejection fraction. Eur Heart J. 2015;36(30):1974-82. DOI:10.1093/eurheartj/ehv087
15. Madias J. Cardiac arrest-triggered takotsubo syndrome vs. takotsubo syndrome complicated by cardiac arrest. Int J Cardiol. 2016;225:142-3.
DOI:10.1016/j.ijcard.2016.09.090
16. Madias C, Fitzgibbons T, Alsheikh-Ali A, et al. Acquired long QT syndrome from stress cardiomyopathy is associated with ventricular arrhythmias and torsades de pointes. Heart Rhythm. 2011;8(4):555-61. DOI:10.1016/j.hrthm.2010.12.012
17. Migliore F, Zorzi A, Perazzolo Marra M, et al. Myocardial edema as a substrate of electrocardiographic abnormalities and life-threatening arrhythmias in reversible ventricular dysfunction of takotsubo cardiomyopathy: Imaging evidence, presumed mechanisms, and implications for therapy. Heart Rhythm. 2015;12(8):1867-77. DOI:10.1016/j.hrthm.2015.04.041
18. Gili S, Cammann V, Schlossbauer S, et al. Cardiac arrest in Takotsubo syndrome: results from the InterTAK Registry. Eur Heart J. 2019;40(26):2142-51. DOI:10.1093/eurheartj/ehz170
19. Lyon A, Bossone E, Schneider B, et al. Current state of knowledge on Takotsubo syndrome: А Position Statement from the Taskforce on Takotsubo Syndrome of the Heart Failure Association of the European Society of Cardiology. Eur J Heart Fail. 2015;18(1):8-27. DOI:10.1002/ejhf.424
________________________________________________
1. Prasad A, Dangas G, Srinivasan M, et al. Incidence and angiographic characteristics of patients With apical ballooning syndrome (takotsubo/stress cardiomyopathy) in the HORIZONS-AMI trial. Cathet Cardiovasc Intervent. 2013;83(3):343-8.
DOI:10.1002/ccd.23441
2. Bybee K, Prasad A, Barsness G, et al. Clinical characteristics and Thrombolysis In Myocardial Infarction frame counts in women with transient left ventricular apical ballooning syndrome. Am J Cardiol. 2004;94(3):343-6. DOI:10.1016/j.amjcard.2004.04.030
3. Redfors B, Vedad R, Angerås O, et al. Mortality in takotsubo syndrome is similar to mortality in myocardial infarction – A report from the SWEDEHEART registry. Int J Cardiol. 2015;185:282-9. DOI:10.1016/j.ijcard.2015.03.162
4. Templin C, Ghadri J, Diekmann J, et al. Clinical Features and Outcomes of Takotsubo (Stress) Cardiomyopathy. N Engl J Med. 2015;373(10):929-38. DOI:10.1056/nejmoa1406761
5. Y-Hassan S. Clinical features and outcome of epinephrine-induced takotsubo syndrome: Analysis of 33 published cases. Cardiovasc Revasc Med. 2016;17(7):450-5. DOI:10.1016/j.carrev.2016.07.005
6. Abraham J, Mudd J, Kapur N, et al. Stress Cardiomyopathy After Intravenous Administration of Catecholamines and Beta-Receptor Agonists. J Am Coll Cardiol. 2009;53(15):1320-5. DOI:10.1016/j.jacc.2009.02.020
7. Ansari U, El-Battrawy I, Fastner C, et al. Clinical outcomes associated with catecholamine use in patients diagnosed with Takotsubo cardiomyopathy. BMC Cardiovasc Disord. 2018;18(1). DOI:10.1186/s12872-018-0784-6
8. Mitchell A, Marquis F. Can takotsubo cardiomyopathy be diagnosed by autopsy? Report of a presumed case presenting as cardiac rupture. BMC Clin Pathol. 2017;17(1). DOI:10.1186/s12907-017-0045-0
9. Manes A, Palazzini M, Leci E, et al. Current era survival of patients with pulmonary arterial hypertension associated with congenital heart disease: a comparison between clinical subgroups. Eur Heart J. 2013;35(11):716-24. DOI:10.1093/eurheartj/eht072
10. Galiè N, Humbert M, Vachiery J, et al. 2015 ESC/ERS Guidelines for the diagnosis and treatment of pulmonary hypertension. Eur Heart J. 2015;37(1):67-119. DOI:10.1093/eurheartj/ehv317
11. Prasad A, Lerman A, Rihal C. Apical ballooning syndrome (Tako-Tsubo or stress cardiomyopathy): A mimic of acute myocardial infarction. Am Heart J. 2008;155(3):408-17. DOI:10.1016/j.ahj.2007.11.008
12. Ghadri J, Wittstein I, Prasad A, et al. International Expert Consensus Document on Takotsubo Syndrome (Part I): Clinical Characteristics, Diagnostic Criteria, and Pathophysiology. Eur Heart J. 2018;39(22):2032-46. DOI:10.1093/eurheartj/ehy076
13. Harhash A, Koulogiannis K, Marcoff L, et al. Cardiomyopathy After Transcatheter Aortic Valve Replacement. JACC Cardiovasc Interv. 2016;9(12):1302-4. DOI:10.1016/j.jcin.2016.04.017
14. Floras J, Ponikowski P. The sympathetic/parasympathetic imbalance in heart failure with reduced ejection fraction. Eur Heart J. 2015;36(30):1974-82. DOI:10.1093/eurheartj/ehv087
15. Madias J. Cardiac arrest-triggered takotsubo syndrome vs. takotsubo syndrome complicated by cardiac arrest. Int J Cardiol. 2016;225:142-3.
DOI:10.1016/j.ijcard.2016.09.090
16. Madias C, Fitzgibbons T, Alsheikh-Ali A, et al. Acquired long QT syndrome from stress cardiomyopathy is associated with ventricular arrhythmias and torsades de pointes. Heart Rhythm. 2011;8(4):555-61. DOI:10.1016/j.hrthm.2010.12.012
17. Migliore F, Zorzi A, Perazzolo Marra M, et al. Myocardial edema as a substrate of electrocardiographic abnormalities and life-threatening arrhythmias in reversible ventricular dysfunction of takotsubo cardiomyopathy: Imaging evidence, presumed mechanisms, and implications for therapy. Heart Rhythm. 2015;12(8):1867-77. DOI:10.1016/j.hrthm.2015.04.041
18. Gili S, Cammann V, Schlossbauer S, et al. Cardiac arrest in Takotsubo syndrome: results from the InterTAK Registry. Eur Heart J. 2019;40(26):2142-51. DOI:10.1093/eurheartj/ehz170
19. Lyon A, Bossone E, Schneider B, et al. Current state of knowledge on Takotsubo syndrome: А Position Statement from the Taskforce on Takotsubo Syndrome of the Heart Failure Association of the European Society of Cardiology. Eur J Heart Fail. 2015;18(1):8-27. DOI:10.1002/ejhf.424
Авторы
А.Е. Комлев*, М.Д. Муксинова, М.А. Саидова, Э.В. Курилина, Т.Э. Имаев
Институт клинической кардиологии им. А.Л. Мясникова ФГБУ «Национальный медицинский исследовательский центр кардиологии» Минздрава России, Москва, Россия
*pentatonika@bk.ru
Институт клинической кардиологии им. А.Л. Мясникова ФГБУ «Национальный медицинский исследовательский центр кардиологии» Минздрава России, Москва, Россия
*pentatonika@bk.ru
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Alexey E. Komlev*, Marina D. Muksinova, Marina A. Saidova, Ella V. Kurilina, Timur E. Imaev
Myasnikov Institute of Clinical Cardiology, National Medical Research Center of Cardiology, Moscow, Russia
*pentatonika@bk.ru
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