Stress cardiomyopathy risk factors: Difference between revisions

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{{Stress cardiomyopathy}}
{{Stress cardiomyopathy}}
{{CMG}}
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==Overview==
==Overview==
Stress cardiomyopathy seems to be triggered by intense [[emotional]] or physical [[stress]], mostly the unexpected death of a loved one.
==Risk Factors==
==Risk Factors==
Often there is a history of a recent severe emotional or physical stress. Case series looking at large groups of patients report that some patients develop apical balloon syndrome after an emotional stressor, while others have a preceding clinical stressor (such as an [[asthma]] attack or sudden illness). Roughly one third of patients have no preceding stressful event <ref>{{cite journal |last=Elesber |first=AA |year=2007 |month=July |title=Four-Year Recurrence Rate and Prognosis of the Apical Ballooning Syndrome |journal=J Amer Coll Card |volume=50 |issue=5 |pages=448-52}}</ref>. The syndrome has been reported to occur after earthquakes, <ref name="pmid8615397">{{cite journal |author=Yamabe H, Hanaoka J, Funakoshi T, ''et al'' |title=Deep negative T waves and abnormal cardiac sympathetic image (123I-MIBG) after the Great Hanshin Earthquake of 1995 |journal=Am. J. Med. Sci. |volume=311 |issue=5 |pages=221–4 |year=1996 |pmid=8615397 |doi=}}</ref> after non-cardiac surgery, <ref name="pmid17184686">{{cite journal |author=Berman M, Saute M, Porat E, ''et al'' |title=Takotsubo cardiomyopathy: expanding the differential diagnosis in cardiothoracic surgery |journal=Ann. Thorac. Surg. |volume=83 |issue=1 |pages=295–8 |year=2007 |pmid=17184686 |doi=10.1016/j.athoracsur.2006.05.115}}</ref> and in patients with noncardiac medical emergencies. <ref name="pmid11796564">{{cite journal |author=Akashi YJ, Sakakibara M, Miyake F |title=Reversible left ventricular dysfunction "takotsubo" cardiomyopathy associated with pneumothorax |journal=Heart |volume=87 |issue=2 |pages=E1 |year=2002 |pmid=11796564 |doi=}}</ref>
Risk factors associated with the development of stress cardiomyopathy include:<ref name="pmid19106400">{{cite journal |vauthors=Akashi YJ, Goldstein DS, Barbaro G, Ueyama T |title=Takotsubo cardiomyopathy: a new form of acute, reversible heart failure |journal=Circulation |volume=118 |issue=25 |pages=2754–62 |year=2008 |pmid=19106400 |pmc=4893309 |doi=10.1161/CIRCULATIONAHA.108.767012 |url=}}</ref>
 
*Exposure to sudden or severe [[emotional]] and/or physical [[stress]]
Although it had been previously reported that an identifiable stressful event occurred in most patients (90%) prior to onset of stress cardiomyopathy, only 71% of patients in Eitel et al.’s study experienced a clearly identifiable emotional or physical trigger <ref>Eitel I, von Knobelsdorff-Brekenhoff F, Bernhardt P, et al. Clinical characteristics and CV magnetic resonance findings in stress (Takotsubo) cardiomyopathy. JAMA 2011; 306:277-286.</ref>. Thus, it cannot be assumed that all stress cardiomyopathy patients experience a common trigger, and a stress cardiomyopathy diagnosis cannot be discounted if a trigger is not present.


==References==
==References==

Latest revision as of 20:03, 9 January 2017

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Dima Nimri, M.D. [2]

Overview

Stress cardiomyopathy seems to be triggered by intense emotional or physical stress, mostly the unexpected death of a loved one.

Risk Factors

Risk factors associated with the development of stress cardiomyopathy include:[1]

References

  1. ↑ Akashi YJ, Goldstein DS, Barbaro G, Ueyama T (2008). "Takotsubo cardiomyopathy: a new form of acute, reversible heart failure". Circulation. 118 (25): 2754–62. doi:10.1161/CIRCULATIONAHA.108.767012. PMC 4893309. PMID 19106400.

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