‘Broken heart’ in acute-on-chronic liver failure | Zendy

Ennaliza Salazar | Zendy; CheeKiat Tan | Zendy; George BoonBee Goh | Zendy

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‘Broken heart’ in acute-on-chronic liver failure

Author(s) -

Ennaliza Salazar,

CheeKiat Tan,

George BoonBee Goh

Publication year - 2016

Publication title -

proceedings of singapore healthcare

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.21

H-Index - 9

eISSN - 2059-2329

pISSN - 2010-1058

DOI - 10.1177/2010105816667366

Subject(s) - hyperkinesia , cardiology , medicine , cardiomyopathy , myocardial stunning , basal (medicine) , heart failure , coronary artery disease , stunning , dobutamine , catecholamine , ischemia , hemodynamics , insulin

Takotsubo cardiomyopathy usually occurs as a result of catecholamine release causing myocardial ‘stunning’ during physical or emotional stress. Typically coronary angiogram shows normal or minor coronary artery disease and echocardiogram shows apical ballooning with basal wall hyperkinesia. The prognosis is excellent with good cardiac functional recovery within days to weeks. We report the first case of takotsubo cardiomyopathy in a patient with acute-on-chronic liver failure.

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