Login
Search
Search
0 Dates
2024
2023
2022
2021
2020
2019
2018
0 Events
CPC 2018
CPC 2019
Curso de Atualização em Medicina Cardiovascular 2019
Reunião Anual Conjunta dos Grupos de Estudo de Cirurgia Cardíaca, Doenças Valvulares e Ecocardiografia da SPC
CPC 2020
CPC 2021
CPC 2022
CPC 2023
CPC 2024
0 Topics
A. Basics
B. Imaging
C. Arrhythmias and Device Therapy
D. Heart Failure
E. Coronary Artery Disease, Acute Coronary Syndromes, Acute Cardiac Care
F. Valvular, Myocardial, Pericardial, Pulmonary, Congenital Heart Disease
G. Aortic Disease, Peripheral Vascular Disease, Stroke
H. Interventional Cardiology and Cardiovascular Surgery
I. Hypertension
J. Preventive Cardiology
K. Cardiovascular Disease In Special Populations
L. Cardiovascular Pharmacology
M. Cardiovascular Nursing
N. E-Cardiology / Digital Health, Public Health, Health Economics, Research Methodology
O. Basic Science
P. Other
0 Themes
01. History of Cardiology
02. Clinical Skills
03. Imaging
04. Arrhythmias, General
05. Atrial Fibrillation
06. Supraventricular Tachycardia (non-AF)
07. Syncope and Bradycardia
08. Ventricular Arrhythmias and Sudden Cardiac Death (SCD)
09. Device Therapy
10. Chronic Heart Failure
11. Acute Heart Failure
12. Coronary Artery Disease (Chronic)
13. Acute Coronary Syndromes
14. Acute Cardiac Care
15. Valvular Heart Disease
16. Infective Endocarditis
17. Myocardial Disease
18. Pericardial Disease
19. Tumors of the Heart
20. Congenital Heart Disease and Pediatric Cardiology
21. Pulmonary Circulation, Pulmonary Embolism, Right Heart Failure
22. Aortic Disease
23. Peripheral Vascular and Cerebrovascular Disease
24. Stroke
25. Interventional Cardiology
26. Cardiovascular Surgery
27. Hypertension
28. Risk Factors and Prevention
29. Rehabilitation and Sports Cardiology
30. Cardiovascular Disease in Special Populations
31. Pharmacology and Pharmacotherapy
32. Cardiovascular Nursing
33. e-Cardiology / Digital Health
34. Public Health and Health Economics
35. Research Methodology
36. Basic Science
37. Miscellanea
0 Resources
Abstract
Slides
Vídeo
Report
CLEAR FILTERS
Finding Takotsubo cardiomypathy on Cardiac Magnetic Resonance
Session:
Posters (Sessão 5 - Écran 1) - DAC e Cuidados Intensivos 6 - MINOCA, género e idade
Speaker:
Rita Rocha
Congress:
CPC 2022
Topic:
E. Coronary Artery Disease, Acute Coronary Syndromes, Acute Cardiac Care
Theme:
13. Acute Coronary Syndromes
Subtheme:
13.3 Acute Coronary Syndromes – Diagnostic Methods
Session Type:
Pósters Electrónicos
FP Number:
---
Authors:
Rita Caldeira da Rocha; Bruno Piçarra; Miguel Carias; Francisco Dias Cláudio; Ana Rita Santos; Renato Fernandes; Manuel Trinca
Abstract
<p style="margin-left:-37px; text-align:justify"><strong>Introduction:</strong>Takotsubo Cardiomyopathy(TCM)is a reversible pathology with clinical features practically indistinguishable from other cardiomyopathies.Cardiac magnetic resonance(CMR)is uniquely suited in differentiating TCM from other forms of acute ventricular dysfunction,and in identifying potential complications of TCM.</p> <p style="margin-left:-37px; text-align:justify"><strong>Purpose:</strong>The aim is to characterize the features of TCM,as well as to evaluate diagnostic and prognostic impact of CMR in these patients.</p> <p style="margin-left:-37px; text-align:justify"><strong>Methods:</strong>A 7-years prospective study,which included all patients of a center proposed to CMR with presumptive diagnosis of MINOCA based on clinical characteristics, such as acute chest pain,troponin raise,ECG presentation,echo and coronariography results,such as absence of angiographically significant coronary disease(luminal stenosis<50%).Comparison was made with TCM definitive one after CMR.We followed a protocol to evaluate TCM patients’ left and right ventricles(LV;RV)anatomically and functionally,and search for late gadolinium enhancement(LGE).</p> <p style="margin-left:-37px; text-align:justify"><strong>Results:</strong>A total of 93 patients were evaluated,of which 16 had the final diagnosis of Takotsubo Cardiomyopathy.Stress-cardiomyopathy patients were female,with mean age of 69±14 years old.At admission,75% had ST segment elevation,so emergent coronariography was performed.The median highest troponin I was 2,235[1,30-4,27]ng/mL.On CMR,81%presented with preserved ejection fraction(mean LVEF 59%±10%).Regional contractility abnormalities were described in 19%,being hypokinesia in all mid and apical segments in 2,and diffuse in 1.Mean LV end diastolic indexed volume(EDIV) was 72±23 mL/m<sup>2</sup>, with 2 patients with dilation(LVEDIV 120±7mL/m<sup>2</sup>).RV EIV were normal.LV dysfunction(mean LVEF 32±2%) and RV dysfunction(mean RV EF 42±4%)was present in 2 cases each,with one with biventricular EF depression.Mild pericardial effusion was found in 38%,mild mitral regurgitation in 8patients and moderate in 1.A possible complication was registered:LV outflow tract protomesossystolic acceleration with mild anterior leaflet prolapse,yet without SAM.No LV thrombus was identified.LGE was observed in 2patients:one on the apex,on the other one the pattern was intramyocardial on mid segment of inferior septum.After CMR was performed,25% of cases had their presumptive diagnosis of TCM confirmed.On the other 75%,initial diagnosis was changed due to CMR features,and consequently so patients’ management:in 50% and 17% of patients the presumptive diagnoses were respectively reperfunded STEMI and NSTEMI.In 33% the initial diagnosis was myocarditis.</p> <p style="margin-left:-37px; text-align:justify"><strong>Conclusion:</strong><span style="background-color:white">CMR provides a noninvasive and multidimensional assessment for evaluation of Takotsubo cardiomyopathy.In our population,performing CMR allowed initial diagnosis modification in ¾ of the cases and identification of a complication,both </span><span style="background-color:white"><span style="color:black">with important therapeutic and prognostic implications.</span></span></p>
Slides
Our mission: To reduce the burden of cardiovascular disease
Visit our site