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Transient stress cardiomyopathies in the elderly: Clinical & Pathophysiologic considerations
Transient stress-induced cardiomyopathies have been increasingly recognized and while rare, they tend to affect elderly women more than other demographic groups. One type, often called tako-tsubo cardiomyopathy (TTC), is typically triggered by significant emotional or physical stress and is associat...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Science Press
2012
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3390102/ https://www.ncbi.nlm.nih.gov/pubmed/22783322 http://dx.doi.org/10.3724/SP.J.1263.2012.00038 |
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author | Chen, Michael A |
author_facet | Chen, Michael A |
author_sort | Chen, Michael A |
collection | PubMed |
description | Transient stress-induced cardiomyopathies have been increasingly recognized and while rare, they tend to affect elderly women more than other demographic groups. One type, often called tako-tsubo cardiomyopathy (TTC), is typically triggered by significant emotional or physical stress and is associated with chest pain, electrocardiogram (ECG) changes and abnormal cardiac enzymes. Significant left ventricular regional wall motion abnormalities usually include an akinetic “ballooning” apex with normal or hyperdynamic function of the base. A second type, often called neurogenic stunned myocardium, typically associated with subarachnoid hemorrhage, also usually presents with ECG changes and positive enzymes, but the typical wall motion abnormalities seen include normal basal and apical left ventricular contraction with akinesis of the mid-cavity in a circumferential fashion. The pathophysiology, clinical care and typical courses, are reviewed. |
format | Online Article Text |
id | pubmed-3390102 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2012 |
publisher | Science Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-33901022012-07-10 Transient stress cardiomyopathies in the elderly: Clinical & Pathophysiologic considerations Chen, Michael A J Geriatr Cardiol Review Transient stress-induced cardiomyopathies have been increasingly recognized and while rare, they tend to affect elderly women more than other demographic groups. One type, often called tako-tsubo cardiomyopathy (TTC), is typically triggered by significant emotional or physical stress and is associated with chest pain, electrocardiogram (ECG) changes and abnormal cardiac enzymes. Significant left ventricular regional wall motion abnormalities usually include an akinetic “ballooning” apex with normal or hyperdynamic function of the base. A second type, often called neurogenic stunned myocardium, typically associated with subarachnoid hemorrhage, also usually presents with ECG changes and positive enzymes, but the typical wall motion abnormalities seen include normal basal and apical left ventricular contraction with akinesis of the mid-cavity in a circumferential fashion. The pathophysiology, clinical care and typical courses, are reviewed. Science Press 2012-03 /pmc/articles/PMC3390102/ /pubmed/22783322 http://dx.doi.org/10.3724/SP.J.1263.2012.00038 Text en Institute of Geriatric Cardiology http://creativecommons.org/licenses/by-nc-sa/3.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 Unported License, which allows readers to alter, transform, or build upon the article and then distribute the resulting work under the same or similar license to this one. The work must be attributed back to the original author and commercial use is not permitted without specific permission. |
spellingShingle | Review Chen, Michael A Transient stress cardiomyopathies in the elderly: Clinical & Pathophysiologic considerations |
title | Transient stress cardiomyopathies in the elderly: Clinical & Pathophysiologic considerations |
title_full | Transient stress cardiomyopathies in the elderly: Clinical & Pathophysiologic considerations |
title_fullStr | Transient stress cardiomyopathies in the elderly: Clinical & Pathophysiologic considerations |
title_full_unstemmed | Transient stress cardiomyopathies in the elderly: Clinical & Pathophysiologic considerations |
title_short | Transient stress cardiomyopathies in the elderly: Clinical & Pathophysiologic considerations |
title_sort | transient stress cardiomyopathies in the elderly: clinical & pathophysiologic considerations |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3390102/ https://www.ncbi.nlm.nih.gov/pubmed/22783322 http://dx.doi.org/10.3724/SP.J.1263.2012.00038 |
work_keys_str_mv | AT chenmichaela transientstresscardiomyopathiesintheelderlyclinicalpathophysiologicconsiderations |