Stress cardiomyopathy medical therapy: Difference between revisions
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The following interventions are done when any of these complications arise:<ref name="pmid21401402">{{cite journal |vauthors=Omerovic E |title=How to think about stress-induced cardiomyopathy?--Think "out of the box"! |journal=Scand. Cardiovasc. J. |volume=45 |issue=2 |pages=67–71 |year=2011 |pmid=21401402 |doi=10.3109/14017431.2011.565794 |url=}}</ref> | The following interventions are done when any of these complications arise:<ref name="pmid21401402">{{cite journal |vauthors=Omerovic E |title=How to think about stress-induced cardiomyopathy?--Think "out of the box"! |journal=Scand. Cardiovasc. J. |volume=45 |issue=2 |pages=67–71 |year=2011 |pmid=21401402 |doi=10.3109/14017431.2011.565794 |url=}}</ref> | ||
*[[Cardiogenic shock]] is treated with [[intraaortic balloon pump]] | *[[Cardiogenic shock]] is treated with [[intraaortic balloon pump]] | ||
*[[ | *[[Pulmonary edema]] is treated by putting the patient in an upright position, supplementing them with [[oxygen]] and administering [[diuretics]], [[morphine]] and [[sedatives]] | ||
*Heart failure is managed with heart failure drugs, such ACE inhibitors, ARBs, diuretics and [[nitrates]] | |||
==References== | ==References== | ||
Revision as of 22:44, 6 January 2017
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Stress cardiomyopathy Microchapters |
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Diagnosis |
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Treatment |
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Unstable angina/non ST elevation myocardial infarction in Stress (Takotsubo) Cardiomyopathy |
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Case Studies |
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Stress cardiomyopathy medical therapy On the Web |
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American Roentgen Ray Society Images of Stress cardiomyopathy medical therapy |
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Risk calculators and risk factors for Stress cardiomyopathy medical therapy |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Medical Therapy
Medical therapy in patients with stress cardiomyopathy is mostly targeted towards the treatment of complications. For stress cardiomyopathy per se, the use of heparin and aspirin are controversial. It must be noted that the use of beta blockers alone is not advised, as this will result unopposed activity of catecholamines at the alpha receptors and further prolongation of the QT interval. The combined use of alpha- and beta blockers seems reasonable.[1]
Treatment of Complications
The following interventions are done when any of these complications arise:[1]
- Cardiogenic shock is treated with intraaortic balloon pump
- Pulmonary edema is treated by putting the patient in an upright position, supplementing them with oxygen and administering diuretics, morphine and sedatives
- Heart failure is managed with heart failure drugs, such ACE inhibitors, ARBs, diuretics and nitrates