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'Incompatible Housemates': Hypertrophic Obstructive Cardiomyopathy and Takotsubo Syndrome
- Source :
- Internal Medicine
- Publication Year :
- 2020
- Publisher :
- Japanese Society of Internal Medicine, 2020.
-
Abstract
- This case report concerns an 81-year-old woman with previously well-controlled hypertrophic obstructive cardiomyopathy (HOCM). She was referred to our hospital because of the acute onset of takotsubo syndrome. Echocardiography revealed basal hyperkinesis due to takotsubo syndrome superimposed on septal hypertrophy, which resulted in the reappearance of prominent left ventricular outflow tract obstruction (LVOTO). Although she developed cardiogenic shock triggered by atrial fibrillation, LVOTO was successfully mitigated by aggressive fluid resuscitation, rhythm control, and the administration of β-blocker. We herein report a rare case with catastrophic hemodynamics due to the incidental combination of HOCM and takotsubo syndrome.
- Subjects :
- medicine.medical_specialty
Resuscitation
Adrenergic beta-Antagonists
Hemodynamics
Ventricular outflow tract obstruction
Case Report
030204 cardiovascular system & hematology
Obstructive cardiomyopathy
Hyperkinesis
03 medical and health sciences
0302 clinical medicine
Takotsubo Cardiomyopathy
Internal medicine
left ventricular outflow tract obstruction
Internal Medicine
medicine
hypertrophic obstructive cardiomyopathy
Humans
takotsubo syndrome
Aged, 80 and over
Takotsubo syndrome
business.industry
Cardiogenic shock
cardiogenic shock
Atrial fibrillation
General Medicine
Cardiomyopathy, Hypertrophic
medicine.disease
Treatment Outcome
Cardiology
Fluid Therapy
Female
030211 gastroenterology & hepatology
medicine.symptom
business
Subjects
Details
- Language :
- English
- ISSN :
- 09182918
- Volume :
- 59
- Issue :
- 7
- Database :
- OpenAIRE
- Journal :
- Internal Medicine
- Accession number :
- edsair.doi.dedup.....3fd04b5336153c2cbc168622895e3348