Recurrent Takotsubo Cardiomyopathy in a Patient With Hypertrophic Cardiomyopathy Leading to Cardiogenic Shock Requiring VA-ECMO

Providing hemodynamic support for patients with hypertrophic cardiomyopathy and cardiogenic shock can be challenging because inotropic medications worsen intraventricular obstruction, and the effect of appropriate mechanical support remains undefined. We report a patient with hypertrophic cardiomyop...

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Main Authors: Mustafa Husaini, MD, Joshua N. Baker, MD, Sharon Cresci, MD, Richard Bach, MD, Shane J. LaRue, MD
Format: Article
Language:English
Published: Elsevier 2020-06-01
Series:JACC: Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2666084920304344
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spelling doaj-bb937697799a4ca6ae4abcd65b45cd0d2021-06-07T06:56:07ZengElsevierJACC: Case Reports2666-08492020-06-012710141018Recurrent Takotsubo Cardiomyopathy in a Patient With Hypertrophic Cardiomyopathy Leading to Cardiogenic Shock Requiring VA-ECMOMustafa Husaini, MD0Joshua N. Baker, MD1Sharon Cresci, MD2Richard Bach, MD3Shane J. LaRue, MD4Department of Medicine, Cardiovascular Division, Washington University School of Medicine, St. Louis, Missouri; Address for correspondence: Dr. Mustafa Husaini, Washington University in Saint Louis, 660 South Euclid Avenue, CB 8086, St. Louis, Missouri 63110.Missouri Baptist, St. Louis, MissouriDepartment of Medicine, Cardiovascular Division, Washington University School of Medicine, St. Louis, MissouriDepartment of Medicine, Cardiovascular Division, Washington University School of Medicine, St. Louis, MissouriDepartment of Medicine, Cardiovascular Division, Washington University School of Medicine, St. Louis, MissouriProviding hemodynamic support for patients with hypertrophic cardiomyopathy and cardiogenic shock can be challenging because inotropic medications worsen intraventricular obstruction, and the effect of appropriate mechanical support remains undefined. We report a patient with hypertrophic cardiomyopathy in shock because of takotsubo cardiomyopathy requiring venoarterial extracorporeal membrane oxygenation and septal reduction for full recovery. (Level of Difficulty: Advanced.)http://www.sciencedirect.com/science/article/pii/S2666084920304344acute heart failurecardiac assist devicescardiomyopathy
collection DOAJ
language English
format Article
sources DOAJ
author Mustafa Husaini, MD
Joshua N. Baker, MD
Sharon Cresci, MD
Richard Bach, MD
Shane J. LaRue, MD
spellingShingle Mustafa Husaini, MD
Joshua N. Baker, MD
Sharon Cresci, MD
Richard Bach, MD
Shane J. LaRue, MD
Recurrent Takotsubo Cardiomyopathy in a Patient With Hypertrophic Cardiomyopathy Leading to Cardiogenic Shock Requiring VA-ECMO
JACC: Case Reports
acute heart failure
cardiac assist devices
cardiomyopathy
author_facet Mustafa Husaini, MD
Joshua N. Baker, MD
Sharon Cresci, MD
Richard Bach, MD
Shane J. LaRue, MD
author_sort Mustafa Husaini, MD
title Recurrent Takotsubo Cardiomyopathy in a Patient With Hypertrophic Cardiomyopathy Leading to Cardiogenic Shock Requiring VA-ECMO
title_short Recurrent Takotsubo Cardiomyopathy in a Patient With Hypertrophic Cardiomyopathy Leading to Cardiogenic Shock Requiring VA-ECMO
title_full Recurrent Takotsubo Cardiomyopathy in a Patient With Hypertrophic Cardiomyopathy Leading to Cardiogenic Shock Requiring VA-ECMO
title_fullStr Recurrent Takotsubo Cardiomyopathy in a Patient With Hypertrophic Cardiomyopathy Leading to Cardiogenic Shock Requiring VA-ECMO
title_full_unstemmed Recurrent Takotsubo Cardiomyopathy in a Patient With Hypertrophic Cardiomyopathy Leading to Cardiogenic Shock Requiring VA-ECMO
title_sort recurrent takotsubo cardiomyopathy in a patient with hypertrophic cardiomyopathy leading to cardiogenic shock requiring va-ecmo
publisher Elsevier
series JACC: Case Reports
issn 2666-0849
publishDate 2020-06-01
description Providing hemodynamic support for patients with hypertrophic cardiomyopathy and cardiogenic shock can be challenging because inotropic medications worsen intraventricular obstruction, and the effect of appropriate mechanical support remains undefined. We report a patient with hypertrophic cardiomyopathy in shock because of takotsubo cardiomyopathy requiring venoarterial extracorporeal membrane oxygenation and septal reduction for full recovery. (Level of Difficulty: Advanced.)
topic acute heart failure
cardiac assist devices
cardiomyopathy
url http://www.sciencedirect.com/science/article/pii/S2666084920304344
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