Refractory cardiogenic shock in hypertrophic cardiomyopathy complicated by apical ballooning: A case report
Language English Country Great Britain, England Media print
Document type Case Reports, Journal Article
PubMed
39921407
PubMed Central
PMC11806472
DOI
10.1177/03000605251315345
Knihovny.cz E-resources
- Keywords
- Cardiogenic shock, Takotsubo syndrome, acute heart failure, case report, extracorporeal membrane oxygenation, hypertrophic cardiomyopathy, left ventricular outflow tract obstruction, mechanical circulatory support,
- MeSH
- Echocardiography MeSH
- Electrocardiography MeSH
- Cardiomyopathy, Hypertrophic * complications diagnosis therapy MeSH
- Shock, Cardiogenic * therapy etiology diagnosis MeSH
- Middle Aged MeSH
- Humans MeSH
- Takotsubo Cardiomyopathy complications diagnosis therapy MeSH
- Check Tag
- Middle Aged MeSH
- Humans MeSH
- Male MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Case Reports MeSH
Hypertrophic cardiomyopathy can be accompanied by dynamic obstruction in the left ventricular outflow tract and acute apical ballooning, which are among the very rare causes of cardiogenic shock. This condition requires a specific treatment approach that in many ways differs from the treatment of other causes of cardiogenic shock. We present a case and our treatment strategy (including extracorporeal life support) for refractory cardiogenic shock in a patient with previously undiagnosed hypertrophic cardiomyopathy.
2nd Faculty of Medicine Charles University Prague Czech Republic
Cardiology Department Liberec Regional Hospital Liberec Czech Republic
Emergency Department University Hospital in Motol Prague Czech Republic
Faculty of Health Studies The Technical University of Liberec Liberec Czech Republic
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Maron BJ, Desai MY, Nishimura RA, et al.. Management of hypertrophic cardiomyopathy: JACC state-of-the-art review. J Am Coll Cardiol 2022; 79: 390–414. PubMed
Singh A, Razzouk L, Massera D, et al.. Acute left ventricular ballooning: tools to differentiate hypertrophic cardiomyopathy with outflow obstruction from neurohumoral Takotsubo syndrome. Rev Cardiovasc Med 2023; 24: 154. PubMed PMC
Singh T, Khan H, Gamble DT, et al.. Takotsubo syndrome: pathophysiology, emerging concepts, and clinical implications. Circulation 2022; 145: 1002–1019. PubMed PMC
Pätz T, Santoro F, Cetera R, et al.. Trigger-associated clinical implications and outcomes in Takotsubo syndrome: results from the multicenter GEIST Registry. J Am Heart Assoc 2023; 12: e028511. PubMed PMC
Sherrid MV, Swistel DG, Olivotto I, et al.. Syndrome of reversible cardiogenic shock and left ventricular ballooning in obstructive hypertrophic cardiomyopathy. J Am Heart Assoc 2021; 10: e021141. PubMed PMC
Sherrid MV, Riedy K, Rosenzweig B, et al.. Distinctive hypertrophic cardiomyopathy anatomy and obstructive physiology in patients admitted with Takotsubo syndrome. Am J Cardiol 2020; 125: 1700–1709. PubMed
Ostadal P, Vondrakova D, Popkova M, et al.. Aortic stenosis and mitral regurgitation modify the effect of venoarterial extracorporeal membrane oxygenation on left ventricular function in cardiogenic shock. Sci Rep 2022; 12: 17076. PubMed PMC
Gagnier JJ, Kienle G, Altman DG, et al.; CARE Group. The CARE guidelines: consensus-based clinical case reporting guideline development. Headache 2013; 53: 1541–1547. PubMed
