Takotsubo syndrome in an adolescent with spinal amyotrophy after surgical treatment
K. P. Yablonskaya,
D. Yu. Schekochikhin,
S. A. Fedorov,
S. A. Terekhin,
S. B. Tshornikov,
E. S. Keshishyan https://doi.org/10.21508/1027-4065-2021-66-3-81-86
Abstract
Takotsubo syndrome (stress-induced cardiomyopathy) is well known in adult cardiology practice, and it also occurs in children. Takotsubo syndrome develops after emotional or physical stress. There is an acute transient disorder of the left ventricle contractility of the apex. The development of pain syndrome, electrocardiographic changes and troponins elevation imitate myocardial infarction. The key diagnostic point is intact coronary arteries and complete reversibility of local contractility disorders over the time.
The article describes the clinical case of takotsubo syndrome in an adolescent with type III spinal muscular atrophy after planned surgery (repeated posterior spondylodesis).Takotsubo syndrome with clinical manifestations of acute left ventricular failure and pulmonary edema developed in the early postoperative period with distinctive electrocardiographic changes (ST segment elevation, local impairment of left ventricular contractility according by echocardiography and ventriculography, and increased levels of troponin). Timely examination and correction of therapy confirm the clinical diagnosis. The regression of symptoms occurred within a few days.
About the Authors
K. P. Yablonskaya
Ilynskaya Hospital
Russian Federation
Russian Federation
Moscow region
D. Yu. Schekochikhin
Ilynskaya Hospital; Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation
Russian Federation
Moscow region
Moscow
S. A. Fedorov
Ilynskaya Hospital
Russian Federation
Russian Federation
Moscow region
S. A. Terekhin
Ilynskaya Hospital
Russian Federation
Russian Federation
Moscow region
S. B. Tshornikov
Ilynskaya Hospital
Russian Federation
Russian Federation
Moscow region
E. S. Keshishyan
Ilynskaya Hospital; Veltischev Research and Clinical Institute for Pediatrics of the Pirogov Russian National Research Medical University
Russian Federation
Russian Federation
Moscow region
Moscow
References
1. Hernandez L.E. Takotsubo cardiomyopathy: how much do we know of this syndrome in children and young adults? Cardiology in the Young 2014; 24: (4): 580–592. DOI: 10.1017/S1047951114000080
2. Sato H., Tateishi H., Uchida T. Takotsubo-type cardiomyopathy due to multivessel spasm. In: Clinical aspect of myocardial injury: from ischemia to heart failure. K. Kodama, K. Haze, M. Hom (eds). Tokyo: Kagakuhyouronsya Co, 1990; 56–64. [in Japanese]
3. Prasad A., Lerman A., Rihal C.S. Apical ballooning syndrome (Tako-Tsubo or stress cardiomyopathy): a mimic of acute myocardial infarction. Am Heart J 2008; 155(3): 408–417. DOI: 10.1016/j.ahj.2007.11.008
4. Kawai S., Suzuki H., Yamaguchi H., Tanaka K., Sawada H., Aizawa T. et al. Ampulla cardiomyopathy (“Takotusbo” cardiomyopathy) – reversible left ventricular dysfunction: with ST segment elevation. Japan Circ J 2000; 64: 156–159. DOI: 10.1253/jcj.64.156
5. Seth P., Aurigemma G., Krasnow J., Tighe D., Untereker W., Meyer T. A syndrome of transient left ventricular apical wall motion abnormality in the absence of coronary disease: a perspective from the United States. Cardiology 2003; 100(2): 61–66. DOI: 10.1159/000073040
6. Gianni M., Dentali F., Grandi A.M., Sumner G., Hiralal R., Lonn E. Apical ballooning syndrome or takotsubo cardiomyopathy: a systematic review. Eur Heart J 2006; 27(13): 1523– 1529. DOI: 10.1093/eurheartj/ehl032
7. Bybee K.A., Kara T., Prasad A., Lerman A., Barsness G.W., Wright R.S. et al. Systematic review: transient left ventricular apical ballooning: a syndrome that mimics ST-segment elevation myocardial infarction. Ann Intern Med 2004; 141(11): 858–865. DOI: 10.7326/0003-4819-141-11-200412070-00010
8. Bajolle F., Basquin A., Lucron H., Bonnet D. Acute ischemic cardiomyopathy after extreme emotional stress in a child. Congenital heart disease 2009; 4(5): 387–90. DOI: 10.1111/j.1747-0803.2009.00277.x
9. Dessardo S., Vjekoslav Tomulic, Dessardo N.S. Tako-Tsubo Syndrome in a 12-Year-Old Girl: Exhausted Heart, Not Broken Heart. Pediatr Cardiol 2011; 32: 1008–1011. DOI: 10.1007/s00246-011-0038-1
10. Biteker M., Duran N.E., Civan H.A., Gündüz S., Gökdeniz T., Kaya H. et al. Broken heart syndrome in a 17-year-old girl. European journal of pediatrics 2009; 168(10): 1273–1275. DOI: 10.1007/s00431-008-0916-6
11. Fabi M., Testa G., Gesuete V., Balducci A., Ragni L. An unusual cardiomyopathy after physical stress in a child. Congenit Heart Dis 2013; 8(2): E45–E48. DOI: 10.1111/j.1747-0803.2011.00610.x
12. Schoof S., Bertram H., Hohmann D., Jack T., Wessel A., Yelbuz T.M. Takotsubo cardiomyopathy in a 2-year-old-girl. J Am Coll Cardiol 2010; 55: e5. DOI: 10.1016/j.jacc.2009.08.050
13. Prasad A., Lerman A., Rihal C.S. Apical ballooning syndrome (Tako-Tsubo or stress cardiomyopathy): a mimic of acute myocardial infarction. Am Heart J. 2008; 155(3): 408–17. DOI: 10.1016/j.ahj.2007.11.008.
14. Ван C.Х., Лианг Дж.Дж. Кардиомиопатия Такоцубо: этиология, диагностика и оптимизация лечения. Кардиология: новости, мнения, обучение 2015; 1(4): 8–15. [Van S.H., Liang Dzh.Dzh. Takotsubo cardiomyopathy: etiology, diagnosis, and optimal management. Kardiologiya: novosti, mneniya, obuchenie 2015; 1(4): 8–15. (in Russ.)]
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For citations:
Yablonskaya K.P., Schekochikhin D.Yu., Fedorov S.A., Terekhin S.A., Tshornikov S.B., Keshishyan E.S. Takotsubo syndrome in an adolescent with spinal amyotrophy after surgical treatment. Rossiyskiy Vestnik Perinatologii i Pediatrii (Russian Bulletin of Perinatology and Pediatrics). 2021;66(3):81-86. (In Russ.) https://doi.org/10.21508/1027-4065-2021-66-3-81-86
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