Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 165
Filtrar
1.
J Holist Nurs ; 40(2): 146-156, 2022 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-34029129

RESUMO

Purpose: To describe women's initial experiences and up to a year in retrospect of their life situation with a confirmed Takotsubo syndrome (TS) diagnosis. Method: A single case study literature review based on nine articles published by nurses was analyzed deductively using a nursing life dimension model. Results: All but one case was conducted on the North American continent and TS had largely affected women with previous cardiac history and had been triggered by one or two stressful life events. The biophysical life dimension manifested in distinct and troublesome inconvenience and in retrospect in fretting and grievous ailments. The emotional dimension manifested in pronounced ways and attitude-related sensations, feelings or moods while the intellectual dimension manifested in an unmanageable world of thought. The spiritual-existential dimension manifested in a life-denying view of life and the socio-cultural dimension manifested in an asocial life. Conclusions: With TS best practice in mind and a person-centered care and holistic approach, comprehensive descriptions are needed of how women identify, interpret, and use knowledge to manage their life situation. Cardiac nurses need further comprehensive descriptions to implement actions. Prior to implementation of such programs, this knowledge needs to be disseminated among cardiac nurses and evaluated in international randomized controlled trials.


Assuntos
Cardiomiopatia de Takotsubo , Emoções , Feminino , Humanos , Acontecimentos que Mudam a Vida , Modelos de Enfermagem , Autocuidado , Cardiomiopatia de Takotsubo/diagnóstico , Cardiomiopatia de Takotsubo/psicologia
3.
Isr Med Assoc J ; 23(3): 149-152, 2021 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-33734626

RESUMO

BACKGROUND: Takotsubo syndrome (TTS) is a non-ischemic cardiomyopathy characterized by an acute reversible left ventricular dysfunction with typical apical ballooning, usually with subsequent complete spontaneous recovery. TTS may be triggered by several physical and emotional stressors. The name Covidsubo was recently adopted to describe this emerging entity. TTS during quarantine may be a reasonable outcome of the overwhelming stress and fear of this pandemic. However, according to the current literature, conflicting results have been reported regarding the incidence of this syndrome during the first wave of the pandemic, and further studies are needed. High index of suspicion is needed to identify patients during the next waves of the pandemic, particularly given the need for minimizing imaging modalities and contact with the patients. OBJECTIVES: To describe two cases of TTS triggered by quarantine during the coronavirus disease-2019 (COVID-19) pandemic. METHODS: Two patients (age 81 years and 70 years) were admitted to our medical center with severe chest pain with normal blood pressure and heart rate. RESULTS: TTS should always be in the differential diagnosis in patients presenting with chest pain suspected to be from coronary origin. Based on the typical clinical, echocardiographic, and angiographic findings, we assumed TTS. CONCLUSIONS: The only prominent stressor in the two cases in this article was the stress accompanying quarantine.


Assuntos
COVID-19/psicologia , Ecocardiografia/métodos , Ventrículos do Coração , Estresse Psicológico , Cardiomiopatia de Takotsubo , Idoso , Idoso de 80 Anos ou mais , COVID-19/epidemiologia , Angiografia Coronária/métodos , Diagnóstico Diferencial , Eletrocardiografia/métodos , Feminino , Ventrículos do Coração/diagnóstico por imagem , Ventrículos do Coração/fisiopatologia , Humanos , Administração dos Cuidados ao Paciente/métodos , Quarentena/psicologia , SARS-CoV-2 , Estresse Psicológico/epidemiologia , Estresse Psicológico/etiologia , Estresse Psicológico/fisiopatologia , Estresse Psicológico/prevenção & controle , Cardiomiopatia de Takotsubo/diagnóstico , Cardiomiopatia de Takotsubo/fisiopatologia , Cardiomiopatia de Takotsubo/psicologia , Cardiomiopatia de Takotsubo/terapia , Resultado do Tratamento
4.
J Card Surg ; 36(2): 764-769, 2021 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-33336409

RESUMO

The COVID-19 pandemic has had far-reaching consequences beyond the disease itself, including economic, social, political, religious, and psychological implications. This novel coronavirus has been shown to have cardiovascular manifestations in the form of arrhythmias, conduction disturbances, myocarditis, stress cardiomyopathy, myocardial injury and myocardial ischemia or infarction from increased microvascular and/or macrovascular coagulopathy. However, in addition to these direct effects, we are now starting to recognize indirect cardiovascular effects of COVID-19 in the form of increased incidence of Takutsobo cardiomyopathy in patients without any evidence of coronavirus infection presumably due to the increased psychological stress of social isolation and societal turbulence. In this case series, we present two post-menopausal women, presenting with chest pain and acute coronary syndrome, who are finally diagnosed with stress cardiomyopathy, triggered by increased emotional stress-related to the pandemic. There is data from a retrospective cohort analysis showing a fourfold increase in the incidence of acute coronary syndrome resulting from stress cardiomyopathy during the pandemic period compared to similar times periods before the pandemic. Hence, health care providers need to be cognizant of the emotional ramifications of the ongoing pandemic in the form of increased risk of Takotsubo cardiomyopathy. Moreover, urgent measures need to be taken to help the at-risk population cope with the ongoing stressors to help decrease the incidence of this cardiomyopathy.


Assuntos
COVID-19/complicações , Eletrocardiografia , Angústia Psicológica , Estresse Psicológico/complicações , Cardiomiopatia de Takotsubo/etiologia , Idoso , Idoso de 80 Anos ou mais , COVID-19/epidemiologia , Feminino , Humanos , Pandemias , SARS-CoV-2 , Estresse Psicológico/psicologia , Cardiomiopatia de Takotsubo/diagnóstico , Cardiomiopatia de Takotsubo/psicologia
5.
Med Hypotheses ; 146: 110454, 2021 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-33338954

RESUMO

Takotsubo cardiomyopathy (TTS), known as stress cardiomyopathy, is a rare disorder characterized by acute and transient left ventricular systolic and diastolic dysfunction, often associated with a stressful, emotional or physical event. TTS may be closely related to SARS-CoV-2 infection and the ongoing pandemic. The enormous emotional stress caused by the pandemic and respiratory infections caused by SARS-CoV-2 could be potential triggers for TTS. The case series cited above implicates that TTS should be considered in the differential diagnosis across the entire spectrum of myocardial injury in SARS-CoV-2 infected patients. Myocardial damage associated with SARS-CoV-2 infection is usually attributed to sepsis, hypoxemia, coronary artery disease, and myocarditis. We hypothesize that TTS may also play a role among these lesions.


Assuntos
COVID-19/complicações , Pandemias , SARS-CoV-2 , Cardiomiopatia de Takotsubo/etiologia , Idoso , Idoso de 80 Anos ou mais , COVID-19/fisiopatologia , COVID-19/psicologia , Diagnóstico Diferencial , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Modelos Cardiovasculares , Fatores de Risco , Estresse Fisiológico , Estresse Psicológico , Cardiomiopatia de Takotsubo/fisiopatologia , Cardiomiopatia de Takotsubo/psicologia
8.
Open Heart ; 7(2)2020 07.
Artigo em Inglês | MEDLINE | ID: mdl-32727853

RESUMO

INTRODUCTION AND OBJECTIVE: Dysfunctional central autonomic nervous system network (CAN) at rest may result in aberrant autonomic responses to psychosocial stressors. We hypothesised that patients with primary microvascular angina (MVA) or Takotsubo syndrome (TTS) would exhibit a peculiar functional organisation of the CAN, potentially associated with psychological patterns. METHODS: Patients underwent a psychosocial evaluation: a clinical diagnostic interview, Millon Clinical Multiaxial Inventory III, State-Trait Anxiety Inventory form Y and Short Form 36 Health Survey (SF-36). The strength of intrinsic functional connectivity (FC) between various nodes of the CAN was investigated using cerebral resting state functional MRI (RS-fMRI). RESULTS: We evaluated 50 (46 women) stable patients: 16 patients with MVA, 17 patients with TTS and 17 patients with previous acute myocardial infarction (AMI). Compared with AMI, patients with MVA showed a lower (higher impairment) SF-36 Body-Pain score (p 0.046) and a higher SF-36 Mental-Health score (p 0.039). Patients with TTS showed the strongest FC between two nodes of the CAN (sympathetic midcingulate cortex and parasympathetic primary motor area) (F 6.25, p 0.005) using RS-fMRI. CONCLUSIONS: The study implements an innovative collaborative research among cardiologists, neuroscientists and psychiatrists ('Neuro-psycho-heart Team'). MVA showed a discrepancy between the highest level of self-reported body pain and the best mental health score, which might suggest a mechanism of somatisation. TTS exhibited an increased functional integration between two areas of the CAN involved in interoceptive pain awareness and negative emotional status. We implemented an innovative research collaboration among cardiologists, neuroscientists and psychiatrists. These data are hypothesis generating and suggest potential prospective investigations on pathophysiology and implementation of psychotherapy and stress-reducing techniques as therapeutic strategies. TRIAL REGISTRATION NUMBER: NCT02759341.


Assuntos
Sistema Nervoso Autônomo/fisiopatologia , Córtex Cerebral/fisiopatologia , Angina Microvascular/fisiopatologia , Funcionamento Psicossocial , Estresse Psicológico/fisiopatologia , Cardiomiopatia de Takotsubo/fisiopatologia , Idoso , Mapeamento Encefálico , Estudos Transversais , Feminino , Humanos , Imageamento por Ressonância Magnética , Masculino , Saúde Mental , Angina Microvascular/diagnóstico , Angina Microvascular/psicologia , Testes Neuropsicológicos , Percepção da Dor , Estudos Prospectivos , Estresse Psicológico/diagnóstico , Estresse Psicológico/psicologia , Cardiomiopatia de Takotsubo/diagnóstico , Cardiomiopatia de Takotsubo/psicologia
9.
Eur J Cardiovasc Nurs ; 19(8): 740-747, 2020 12.
Artigo em Inglês | MEDLINE | ID: mdl-32491953

RESUMO

BACKGROUND: A relation to stress and stressful triggers is often, but not always, described in patients with Takotsubo syndrome. Few studies have focused on patients' self-rated stress in combination with qualitative experiences of stress in Takotsubo syndrome. AIMS: The aim of this study was to describe stress before and after the onset of Takotsubo syndrome. METHODS: Twenty patients were recruited from five major hospitals in Stockholm, Sweden between December 2014 and November 2018. A mixed methods design was used containing the validated questionnaire, perceived stress scale (PSS-14) filled in at baseline and at a 6 and 12-month follow-up, respectively. Qualitative interviews were made at the 6-month follow-up. RESULTS: Self-rated stress, measured by the perceived stress scale, showed stress levels above the cut-off value of 25, at the onset of Takotsubo syndrome (median 30.5). Stress had decreased significantly at the 12-month follow-up (median 20.5, P = 0.039) but remained high in one third of the patients. Qualitative interviews confirmed a high long-term stress and half of the patients had an acute stress trigger before the onset of Takotsubo syndrome. The qualitative interviews showed that the patients had reflected on and tried to find ways to deal with stress, but for many this was not successful. CONCLUSION: Patients with Takotsubo syndrome reported long-term stress sometimes with an acute stress trigger before the onset of Takotsubo syndrome. Stress decreased over time but remained high for a considerable number of patients. Despite reflection over stress and attempts to deal with stress many were still affected after 6 months. New treatment options are needed for patients with Takotsubo syndrome.


Assuntos
Pacientes/psicologia , Pacientes/estatística & dados numéricos , Autorrelato/estatística & dados numéricos , Estresse Fisiológico , Estresse Psicológico , Cardiomiopatia de Takotsubo/fisiopatologia , Cardiomiopatia de Takotsubo/psicologia , Idoso , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Inquéritos e Questionários , Suécia
10.
Ir Med J ; 113(2): 27, 2020 02 13.
Artigo em Inglês | MEDLINE | ID: mdl-32407012

RESUMO

Aim To report a case of Takotsubo cardiomyopathy secondary to a verbal altercation in an employee who presented with chest pain. Methods The clinical history was obtained from the patient's occupational health record and correspondence from her treating cardiologist. Results The patient was diagnosed with Takotsubo cardiomyopathy following investigations for chest pain. Her echocardiogram was diagnostic. She was treated with beta blockers and advised to have complete rest; she remained out of work for six months. Conclusion There are few published cases of work related Takotsubo cardiomyopathy; it poses a challenge to physicians to be cognisant of this condition in a case of chest pain following emotional turmoil.


Assuntos
Agressão/fisiologia , Abuso Emocional , Saúde Ocupacional , Estresse Ocupacional/etiologia , Cardiomiopatia de Takotsubo/etiologia , Cardiomiopatia de Takotsubo/psicologia , Comportamento Verbal/fisiologia , Absenteísmo , Antagonistas Adrenérgicos beta/uso terapêutico , Dor no Peito/etiologia , Eletrocardiografia , Feminino , Humanos , Pessoa de Meia-Idade , Cardiomiopatia de Takotsubo/diagnóstico , Cardiomiopatia de Takotsubo/tratamento farmacológico
12.
Pacing Clin Electrophysiol ; 43(7): 730-736, 2020 07.
Artigo em Inglês | MEDLINE | ID: mdl-32304247

RESUMO

BACKGROUND: Pacemaker (PM) implantation may cause acute emotional distress leading to takotsubo syndrome (TTS). Frailty and cognitive impairment are known to influence outcomes after surgical procedures. It is unclear whether they may also predispose to TTS following PM implantation. METHODS: We identified nine cases (81 ± 6 years) of TTS following PM implantation that took place between 2013 and 2017 in one high volume implantation center. TTS was diagnosed based on typical echocardiographic appearance with resolution over time and (in cases where deemed necessary) normal coronary angiography. The TTS cases were compared with 30 consecutive cases of PM implantation (75 ± 9 years), which were not complicated by TTS (control group). Frailty was assessed using retrospective Risk Analysis Index (RAI-A). Pacing parameters were analyzed during PM implantation and after 1 month. RESULTS: Cognitive impairment was more prevalent (67% vs 10%, P = .0005), and RAI-A index was significantly higher in the TTS group compared to the control group (26 ± 13.7 vs 13.1 ± 9.8, P = .008). Perioperative right ventricular threshold was significantly higher in patients with TTS comparing to controls (0.99 ± 0.43 V vs 0.74 ± 0.20 V, P = .04). The magnitude of decrease in right ventricular threshold between implantation and 1 month follow-up was greater in TTS patients compared to controls (-0.41 ± 0.29 V vs -0.15 ± 0.38 V, P = .049). CONCLUSIONS: TTS is a rare complication of PM implantation. Patients with cognitive impairment and frailty are at risk of TTS. Right ventricular pacing threshold is acutely affected by TTS and improves over time.


Assuntos
Disfunção Cognitiva/complicações , Fragilidade/complicações , Marca-Passo Artificial , Cardiomiopatia de Takotsubo/etiologia , Cardiomiopatia de Takotsubo/psicologia , Idoso , Idoso de 80 Anos ou mais , Disfunção Cognitiva/fisiopatologia , Feminino , Fragilidade/fisiopatologia , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Fatores de Risco
13.
Psychol Health Med ; 25(8): 989-1003, 2020 09.
Artigo em Inglês | MEDLINE | ID: mdl-32000523

RESUMO

Physical long-term impacts of Takotsubo Cardiomyopathy (TTC) remain controversial and an underestimation of their severity becomes increasingly evident. Even less is known about mental long-term impacts of TTC. This study aims at a better understanding of the physical and mental long-term effects of TTC in comparison to myocardial infarctions (MI). On average 5 years after disease onset, 68 TTC patients and 68 age- and sex-matched MI patients were assessed for disease-related quality of life, depression, anxiety, chronic stress, social support, resilience, and life events prior to disease onset. Scores of TTC and MI patients were compared to each other and to normative references values. Regression analyses were used to evaluate the predictive value of the number of life events prior to disease onset for physical and mental long-term outcomes. Both groups displayed higher scores in depression and anxiety, higher levels of chronic stress, and lower scores in physical and mental quality of life in comparison to norm samples, while social support did not differ from norms. No differences between the two patient groups were observed. Within both groups, the majority of patients (TTC: 69.1%; MI: 60.3%) reported stressful life events prior to disease onset. In TTCs and MIs, the number of events had a significant impact on long-term mental health and chronic stress. Notably, both patient collectives scored higher in resilience than healthy controls. Results suggest negative long-term impacts of TTC on mental and physical wellbeing, comparable to those of MI. Besides a good somatic-medical care, psychotherapeutic support, including the development of functional coping strategies, might be warranted for TTC patients. The long-term impact of TTC should be taken as serious as that of MI.


Assuntos
Ansiedade/psicologia , Depressão/psicologia , Infarto do Miocárdio/psicologia , Qualidade de Vida/psicologia , Estresse Psicológico/psicologia , Cardiomiopatia de Takotsubo/psicologia , Idoso , Estudos de Casos e Controles , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Infarto do Miocárdio/fisiopatologia , Avaliação de Resultados em Cuidados de Saúde , Cardiomiopatia de Takotsubo/fisiopatologia
14.
Eur J Cardiovasc Nurs ; 19(1): 4-7, 2020 01.
Artigo em Inglês | MEDLINE | ID: mdl-31686533

RESUMO

This paper is written from the perspective of patients who have been diagnosed with takotsubo syndrome. It seeks to understand why these patients may feel dissatisfied with the care they receive. We consider four factors: (a) takotsubo syndrome is a relatively new condition and the knowledge base about treatment is limited and not widely disseminated among clinicians; (b) the age and gender profile of the patient group; (c) the implications of the categorisation of takotsubo syndrome as 'broken heart syndrome' and the over-emphasis of it as a 'psychosomatic' condition; (d) concern that patients with takotsubo syndrome might be labelled as over-emotional, especially if they do not recover quickly. We argue that these factors contribute to patients with takotsubo syndrome feeling poorly served.


Assuntos
Satisfação do Paciente/estatística & dados numéricos , Guias de Prática Clínica como Assunto , Estresse Psicológico/terapia , Cardiomiopatia de Takotsubo/diagnóstico , Cardiomiopatia de Takotsubo/psicologia , Cardiomiopatia de Takotsubo/terapia , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade
15.
Transplant Proc ; 51(9): 3167-3170, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31619342

RESUMO

Lung transplantation is a therapeutic option for certain end-stage lung diseases. The phone call for lung transplantation is a major event in the life of these patients; as a result, it can generate significant stress. We herein present the case of a 58-year-old female patient with end-stage chronic obstructive pulmonary disease (COPD) who, while on the lung transplantation waiting list, received such a call. Complete transplant work-up, including cardiac tests undertaken shortly before, had revealed no contraindication to lung transplantation. She was admitted with severe acute respiratory failure, and her extensive work-up was compatible with pulmonary edema due to takotsubo cardiomyopathy. The lung transplantation was thus cancelled, owing to the patient's health condition and the poor quality of the graft as well. The patient stayed in the intensive care unit for several days, requiring noninvasive ventilation. The left ventricular function recovered completely within 10 days postdiagnosis, and the patient was discharged 13 days after her admission. The patient was transplanted 1 month thereafter, without any particular problems; she is currently, 8 months post-transplantation, in good condition. In the given case, the call for lung transplantation could have generated emotional stress severe enough to lead to takotsubo cardiomyopathy.


Assuntos
Transplante de Pulmão/psicologia , Angústia Psicológica , Cardiomiopatia de Takotsubo/etiologia , Cardiomiopatia de Takotsubo/psicologia , Feminino , Insuficiência Cardíaca/etiologia , Insuficiência Cardíaca/psicologia , Humanos , Pessoa de Meia-Idade , Doença Pulmonar Obstrutiva Crônica/complicações , Doença Pulmonar Obstrutiva Crônica/cirurgia
16.
BMJ Case Rep ; 12(4)2019 Apr 04.
Artigo em Inglês | MEDLINE | ID: mdl-30948410

RESUMO

Takotsubo syndrome is an intriguing condition of often stress induced reversible cardiac dysfunction mimicking myocardial infarction, but without explanatory coronary obstructions. The pathogenesis of the syndrome is not yet fully understood, though altered sympathetic regulation or response to cardiac sympathetic stimuli is likely to be involved. We present a unique and clinically detailed report of identical twin sisters, who both developed Takotsubo syndrome in association to mental stress shortly after menopause, also covering a potential relapse of disease in one of the twins, supporting the theory of a genetic contribution to the development of the syndrome proposed by previous case reports and small genetic studies.


Assuntos
Predisposição Genética para Doença , Cardiomiopatia de Takotsubo/diagnóstico , Eletrocardiografia , Feminino , Humanos , Angiografia por Ressonância Magnética , Pessoa de Meia-Idade , Estresse Psicológico/complicações , Cardiomiopatia de Takotsubo/genética , Cardiomiopatia de Takotsubo/psicologia , Gêmeos Monozigóticos
17.
Sci Rep ; 9(1): 4187, 2019 03 12.
Artigo em Inglês | MEDLINE | ID: mdl-30862828

RESUMO

Takotsubo syndrome (TTS) is an acute, reversible cardiomyopathy. The central autonomic nervous system (ANS) is believed to play a role in this disease. The aim of the present study was to investigate the patterns of brain functional connectivity in a sample of patients who had experienced a previous episode of TTS. Brain functional connectivity, both at rest and in response to the stressful stimulus of topical cold stimulation, was explored using functional magnetic resonance imaging (fMRI), network-based statistics (NBS) and graph theory analysis (GTA) in a population consisting of eight patients with a previous episode of TTS and eight sex- and age-matched controls. At rest, a network characterized by increased connectivity in the TTS group compared to controls and comprising elements of the central ANS was identified. GTA revealed increased local efficiency, clustering and strength in regions of the bilateral hippocampus in subjects with a previous episode of TTS. When stressed by local exposure to cold, the TTS group differed significantly from both a pre-stress baseline interval and from the control group, showing increased connectivity in a network that included the left amygdala and the right insula. Based on the results, patients with TTS display a reorganization of cortical and subcortical networks, including areas associated with the emotional response and autonomic regulation. The findings tend to support the hypothesis that a deregulation of autonomic control at the central level plays a significant role in this syndrome.


Assuntos
Encéfalo/fisiopatologia , Rede Nervosa/fisiopatologia , Cardiomiopatia de Takotsubo/fisiopatologia , Estudos de Casos e Controles , Feminino , Humanos , Imageamento por Ressonância Magnética , Masculino , Pessoa de Meia-Idade , Descanso , Estresse Psicológico/fisiopatologia , Cardiomiopatia de Takotsubo/diagnóstico por imagem , Cardiomiopatia de Takotsubo/psicologia , Análise e Desempenho de Tarefas
19.
J Med Case Rep ; 13(1): 22, 2019 Jan 25.
Artigo em Inglês | MEDLINE | ID: mdl-30678717

RESUMO

INTRODUCTION: Simultaneous occurrence of transient global amnesia and Takotsubo syndrome has been only rarely reported. Here we report another patient with a transient global amnesia and concomitant Takotsubo syndrome. CASE PRESENTATION: Our patient is a 64-year-old white man with a previous history of myocarditis from borreliosis who developed sudden-onset confusional state with perseverations and repetition of the same questions during a funeral for his brother-in-law. Upon neurological work-up and after spontaneous resolution of most of the neurological deficits, transient global amnesia was diagnosed. Blood tests revealed moderate renal insufficiency, elevated troponin-T, and elevated N-terminal prohormone of brain natriuretic peptide. Electrocardiography showed left anterior hemiblock and negative T-waves in V2-V6. Upon transthoracic echocardiography the apical type of a Takotsubo syndrome was suspected. Since coronary angiography was normal and electrocardiography and echocardiographic abnormalities resolved under candesartan, bisoprolol, acetyl-salicylic acid, and atorvastatin within a few days after onset, Takotsubo syndrome was diagnosed. CONCLUSIONS: Since Takotsubo syndrome may be associated with transient global amnesia a causal relation may exist. A possible trigger for both conditions could be severe emotional stress from the loss of a close relative. A possible common pathomechanism could be overstimulation of adrenergic receptors in the myocardium, the cerebrum, or the coronary or cerebral arteries. Whether pre-existing myocardial compromise promotes the development of Takotsubo syndrome requires further investigations.


Assuntos
Amnésia Global Transitória/fisiopatologia , Hipertensão/fisiopatologia , Miocardite/fisiopatologia , Estresse Psicológico/fisiopatologia , Cardiomiopatia de Takotsubo/fisiopatologia , Amnésia Global Transitória/tratamento farmacológico , Amnésia Global Transitória/etiologia , Amnésia Global Transitória/psicologia , Anti-Hipertensivos/uso terapêutico , Aspirina/uso terapêutico , Atorvastatina/uso terapêutico , Benzimidazóis/uso terapêutico , Compostos de Bifenilo , Bisoprolol/uso terapêutico , Angiografia Coronária , Eletrocardiografia , Fibrinolíticos/uso terapêutico , Pesar , Humanos , Inibidores de Hidroximetilglutaril-CoA Redutases/uso terapêutico , Masculino , Pessoa de Meia-Idade , Estresse Psicológico/psicologia , Cardiomiopatia de Takotsubo/complicações , Cardiomiopatia de Takotsubo/tratamento farmacológico , Cardiomiopatia de Takotsubo/psicologia , Tetrazóis/uso terapêutico , Resultado do Tratamento
20.
Medicine (Baltimore) ; 98(1): e13841, 2019 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-30608400

RESUMO

Mental and physical stress is thought to play an important causative factor in apical ballooning syndrome (ABS) likely secondary to the vasomotor dysfunction. However, there are currently few data related to the impact of physical stress in this unique cardiomyopathy.A total 18 patients, including 8 females with history of ABS and 10 post-menopausal controls, underwent physical and mental tests. Assessments included the pain-induced peripheral artery tonometry scores (PIPATs) and mental stress peripheral artery tonometry scores (PATs).Compared with control group, PIPATs were significantly attenuated in patients with ABS in both baseline and post-mental stress (0.94 ±â€Š0.08 vs1.30 ±â€Š0.54, P <.05 and 0.87 ±â€Š0.19 vs1.24 ±â€Š0.21 P = .01, respectively); mental stress PATs were significantly lower in patients with ABS, both in Stroop test (0.79 ±â€Š0.30 vs 1.24 ±â€Š0.43, P = .01) and arithmetic test (0.91 ±â€Š0.27 vs 1.36 ±â€Š0.57, P = .01). PIPATs correlated significantly with mental stress PATs, both in arithmetic and Stroop test (P <.05).The PIPATs were attenuated in female with history of ABS and the vascular response to pain may provide a different pathogenesis mechanism on detecting patients with ABS.


Assuntos
Manometria , Dor/complicações , Estresse Psicológico/fisiopatologia , Cardiomiopatia de Takotsubo/fisiopatologia , Braço/irrigação sanguínea , Feminino , Humanos , Pessoa de Meia-Idade , Pós-Menopausa , Estresse Psicológico/psicologia , Cardiomiopatia de Takotsubo/psicologia
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA
...