Open AccessSepsis-Induced Myocardial Depression and Takotsubo Syndrome
Author(s) -
Mustafa Kemal Arslantaş,
Gülbin Töre Altun,
İsmail Cinel
Publication year - 2015
Publication title -
türk yoğun bakım derneği dergisi/türk yoğun bakım dergisi
Language(s) - English
Resource type - Journals
eISSN - 2146-6416
pISSN - 2147-267X
DOI - 10.4274/tybdd.85547
Subject(s) - takotsubo syndrome , depression (economics) , medicine , sepsis , cardiology , heart failure , cardiomyopathy , economics , macroeconomics
Sepsis induced temporary myocardial dysfunction characterized as impairment of myocardial contraction is an important cause of mortality and morbidity in intensive care units. Takotsubo syndrome (TS) is temporary ballooning and dysfunction of the apical part of left ventricle without significant stenosis of coronary arteries. Recently, it was suggested that impairment in regional catecholamine distribution caused by stress factors and excessive cardiac sympathetic activity mechanism play role in sepsis such as other causes of TS. Additionally, vasopressor agents (as noradrenaline) which are widely used in sepsis treatment may be triggering factor. Serial case reports of sepsis associated TS are reported, however pathophysiology, diagnosis and treatment strategies of these two different syndromes is not obvious