Cardiogenic Shock Secondary to Takotsubo Cardiomyopathy in a Patient with
Preexisting Hypertrophic Obstructive Cardiomyopathy
#MMPMID30062317
Nalluri N
; Asti D
; Anugu VR
; Ibrahim U
; Lafferty JC
; Olkovsky Y
CASE (Phila)
2018[Jun]; 2
(3
): 78-81
PMID30062317
show ga
? Echocardiography is used to diagnose hypertrophic obstructive cardiomyopathy
(HOCM) and Takotsubo cardiomyopathy (TCM). ? Hypotension in a patient with TCM
should be evaluated for left ventricular outflow tract obstruction (LVOTO). ?
Management of TCM is challenging in patients with HOCM with severe LVOTO. ?
Hypotension in LVOTO may paradoxically worsen with standard intravenous
inotropes. ? Fluid resuscitation, beta-blockers, alpha agonists, and intra-aortic
balloon pump are the treatment options in LVOTO.