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Stress cardiomyopathy (tako-tsubo) triggered by nervous system diseases: A systematic review of the reported cases

Porto, Italo ; Della Bona, Roberta ; Leo, Andrea ; Proietti, Riccardo ; Pieroni, Maurizio ; Caltagirone, Carlo ; Spalletta, Gianfranco ; Bolognese, Leonardo ; Cravello, Luca

International Journal of Cardiology, 10 September 2013, Vol.167(6), pp.2441-2448 [Periódico revisado por pares]

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  • Título:
    Stress cardiomyopathy (tako-tsubo) triggered by nervous system diseases: A systematic review of the reported cases
  • Autor: Porto, Italo ; Della Bona, Roberta ; Leo, Andrea ; Proietti, Riccardo ; Pieroni, Maurizio ; Caltagirone, Carlo ; Spalletta, Gianfranco ; Bolognese, Leonardo ; Cravello, Luca
  • Assuntos: Tako-Tsubo ; Stress Cardiomyopathy ; Nervous System Disease ; Medicine
  • É parte de: International Journal of Cardiology, 10 September 2013, Vol.167(6), pp.2441-2448
  • Descrição: It is not clarified whether the transient, regional left ventricular dysfunction (TRLVD) associated with several neurological disorders shares the same pathophysiology with the classical tako-tsubo cardiomyopathy occurring without overt neurological disease, and whether it is appropriate to include these patients in a single stress cardiomyopathy (SCM) condition. In February 2012, we systematically explored major electronic medical information sources to identify cases of TRLVD triggered by neurological disorders. The 81 selected papers reported a total of 124 patients, suffering from neurological disorders, in whom TRLVD occurred: 117 with central nervous system diseases, 6 with peripheral nervous system diseases and 1 with both systems involved. Most patients were females (n = 102), mean age was 63 ± 15 years, and the majority presented with an apex-involving pattern. The most common disease described was subarachnoid hemorrhage (n = 52), followed by stroke/transient ischemic attack (n = 24), and seizures (n = 18). TRLVD in neurological patients was often associated with need of inotropic support, orotracheal intubation, cerebrovascular spasm and delayed surgery. TRLVD is a complication of neurological diseases, in particular in female patients in post-menopausal phase. The predilection for neurological damage at or close to the insular cortex highlights the pivotal role of sympathetic over-activation. Many other similarities with tako-tsubo support the inclusion in a single SCM category.
  • Idioma: Inglês

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