Inverted Takotsubo Cardiomyopathy as an Early Complication After Liver Transplantation

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00159816%3A_____%2F21%3A00074694" target="_blank" >RIV/00159816:_____/21:00074694 - isvavai.cz</a>

Alternative codes found

RIV/00209775:_____/21:N0000004 RIV/00216224:14110/21:00124031

Result on the web

<a href="https://www.amjcaserep.com/abstract/full/idArt/930484" target="_blank" >https://www.amjcaserep.com/abstract/full/idArt/930484</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.12659/AJCR.930484" target="_blank" >10.12659/AJCR.930484</a>

Result language

angličtina

Original language name

Inverted Takotsubo Cardiomyopathy as an Early Complication After Liver Transplantation

Original language description

Objective: Rare disease Background: Takotsubo cardiomyopathy (TTC) is a cardiac syndrome characterized by transient left ventricle (LV) dysfunction, typically showing apical ballooning due to apical akinesis with preserved basal segment contractility. The inverted form is very uncommon and is characterized by basal segment hypokinesis or akinesis and normal LV apical segment contractility. Case Report: We describe the case of a 49-year-old woman who developed inverted TTC after orthotopic liver transplantation. On day 1 (D1), dyspnea and oliguria suddenly appeared. A chest X-ray showed pulmonary edema, and echocardiography showed severe systolic LV dysfunction with an estimated ejection fraction of approximately 25% and akinesis of basal and midventricular LV segments, normal apical segment contractility, and mild mitral regurgitation. Elevated troponin T, creatine kinase-MB, and N-terminal pro B-type natriuretic peptide were found in the blood sample. Suspected inverted takotsubo cardiomyopathy was confirmed by left ventriculography, with normal apical part motion, akinesis in the other LV parts, and negative coronary angiography. The echocardiographic findings returned to normal on D14, and the patient was discharged from the hospital on D19 with normal LV motion and an ejection fraction of 65%. The transplanted liver function was excellent. Conclusions: Organ transplantation is connected with a great emotional stress because the patient&apos;s life depends on the death of another person. Therefore, we have to think about the possibility of stress cardiomyopathy even after liver transplantation, because early diagnosis and treatment can be life-saving for the patient. To our knowledge, this is the first described case of inverted takotsubo cardiomyopathy after liver transplantation.

Czech name

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Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

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OECD FORD branch

30218 - General and internal medicine

Project

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Continuities

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year

2021

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

American Journal of Case Reports

ISSN

1941-5923

e-ISSN

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Volume of the periodical

22

Issue of the periodical within the volume

APR 24

Country of publishing house

US - UNITED STATES

Number of pages

4

Pages from-to

"e930484"

UT code for WoS article

000653065900001

EID of the result in the Scopus database

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