Open AccessTakotsubo Syndrome during Haemodialysis
Author(s) -
Nikolaos Tsigaridas,
Stavros Mantzoukis,
Marina Gerasimou,
Konstantinos Bakas,
Emilios Andrikos,
Elisavet Kokkolou,
Aphrodite Tsinta,
Dimitrios Patsouras
Publication year - 2019
Publication title -
indian journal of nephrology/indian journal of nephrology
Language(s) - Uncategorized
Resource type - Journals
SCImago Journal Rank - 0.317
H-Index - 24
eISSN - 1998-3662
pISSN - 0971-4065
DOI - 10.4103/ijn.ijn_267_18
Subject(s) - medicine , palpitations , cardiogenic shock , takotsubo syndrome , hemodialysis , chest pain , cardiology , ventricle , intensive care medicine , heart failure , myocardial infarction , cardiomyopathy
Takotsubo syndrome (TS) is typically characterized by transient (reversible) systolic dysfunction of the apical and mid segments of the left ventricle (LV), usually without obstruction of coronary arteries, in postmenopausal women after a stressful event. Usually, patients may experience symptoms such as chest pain, shortness of breath, palpitations, and rarely syncope or cardiogenic shock. There are many theories about pathophysiology of TS. Among these, most acceptable is the catecholamine theory. The prognosis is usually good with recovery of symptoms and imaging findings at most within a few weeks. However, complications may occur. We present the 11 th published case of a patient on hemodialysis, who presented with TS and discuss why this situation may occur in patients on hemodialysis. Contrary to our patient, half of previously published cases presented with atypical symptoms. Therefore, it is important to be alert in order to timely diagnose, support the patient, and treat if any complications appear.