PMID- 25099853
OWN - NLM
STAT- MEDLINE
DCOM- 20140922
LR  - 20240426
IS  - 1470-2118 (Print)
IS  - 1473-4893 (Electronic)
IS  - 1470-2118 (Linking)
VI  - 14
IP  - 4
DP  - 2014 Aug
TI  - Lesson of the month 1: broken heart in the intensive care unit.
PG  - 447-8
LID - 10.7861/clinmedicine.14-4-447 [doi]
AB  - Takotsubo cardiomyopathy (TCM) is an unusual form of acute cardiomyopathy showing 
      left ventricular apical ballooning. TCM can masquerade as ST elevation myocardial 
      infarction (STEMI). TCM usually occurs following a variety of emotional 
      stressors, but physical stressors can also trigger the condition, as highlighted 
      by the present case. TCM can occur after an acute medical illness; therefore, 
      physicians should be aware of this condition as a potential cause of 
      inotrope-resistant hypotension. In patients with hypotension and 
      moderate-to-severe left ventricular outflow tract (LVOT) obstruction, inotropic 
      agents should be avoided, because they can worsen the degree of obstruction. 
      Instead, beta-blockers are preferred, because they are capable of resolving the 
      obstruction and consequently improve the haemodynamics.
CI  - (c) 2014 Royal College of Physicians.
FAU - Shah, Rahman
AU  - Shah R
AD  - Section of Cardiovascular Medicine, University of Tennessee, School of Medicine, 
      Memphis, USA and Veterans Affairs Medical Center, Memphis, USA 
      Shahcardiology@yahoo.com.
FAU - Shelton, Michela R
AU  - Shelton MR
AD  - Veterans Affairs Medical Center, Memphis, USA.
FAU - Ramanathan, Kodangudi B
AU  - Ramanathan KB
AD  - Section of Cardiovascular Medicine, University of Tennessee, School of Medicine, 
      Memphis, USA and Veterans Affairs Medical Center, Memphis, USA.
LA  - eng
PT  - Case Reports
PT  - Journal Article
PL  - England
TA  - Clin Med (Lond)
JT  - Clinical medicine (London, England)
JID - 101092853
RN  - 0 (Adrenergic beta-Antagonists)
SB  - IM
MH  - Adrenergic beta-Antagonists/therapeutic use
MH  - *Electrocardiography
MH  - Humans
MH  - Intensive Care Units
MH  - Male
MH  - Middle Aged
MH  - Takotsubo Cardiomyopathy/*diagnosis/drug therapy
PMC - PMC4952845
OTO - NOTNLM
OT  - ST segment elevation
OT  - Takotsubo cardiomyopathy
OT  - intensive care unit
OT  - physical stress
EDAT- 2014/08/08 06:00
MHDA- 2014/09/23 06:00
PMCR- 2014/08/01
CRDT- 2014/08/08 06:00
PHST- 2014/08/08 06:00 [entrez]
PHST- 2014/08/08 06:00 [pubmed]
PHST- 2014/09/23 06:00 [medline]
PHST- 2014/08/01 00:00 [pmc-release]
AID - S1470-2118(24)02433-3 [pii]
AID - clinmedicine [pii]
AID - 10.7861/clinmedicine.14-4-447 [doi]
PST - ppublish
SO  - Clin Med (Lond). 2014 Aug;14(4):447-8. doi: 10.7861/clinmedicine.14-4-447.