Takotsubo-like syndrome, the role of IABP in Neurosurgical Patients

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Nanthasak Tisavipa, MD
Denchai Laiwattana, MD
Decha Kintorn, MD
Vikrom Srisukh, MD
Witaya Jongsupangkarat, MD
Akkapong Nitisingh, MD
Parunut Itthimatin, MD


The associations between cardiac problems and neurological problems are common. The most well known one is EKG changes in patients with subarachnoid hemorrhage (SAH).EKG changes can be seen as much as 50-100% in acute stage of SAH.


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Tisavipa N, Laiwattana D, Kintorn D, Srisukh V, Jongsupangkarat W, Nitisingh A, Itthimatin P. Takotsubo-like syndrome, the role of IABP in Neurosurgical Patients. BKK Med J [Internet]. 2011Feb.18 [cited 2020Jul.16];1(1):27. Available from: https://he02.tci-thaijo.org/index.php/bkkmedj/article/view/217638
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1. Brouwers PJ, Wijdicks EF, Hasan D, et al. Serial elec- trocardiographic recording in aneurismal subarachnoid hemorrhage. Stroke 1989;20:1162-1167
2. Mayer SA, LiMandri G, Sherman D, et al. Electrocardio- graphic markers of abnormal left ventricular wall motion in acute subarachnoid hemorrhage. J Neurosurg 1995;83: 889-896
3. Dorfman TA, Aqel R, Mahew M, Iskandrian AE. Takot- subo cardiomyopathy: A review of the literature. Curr Cardiol Rev 2007;3:137-142
4. Dorfman TA, Iskandrian AE. Takotsubo cardiomyopathy: State-of-the-art review. J Nucl Cardiol 2009;16:122 -134
5. Martin HD, Dirk R, Jurgen B, et al. Tako-tsubo cardiomy- opathy: reversible heart failure with favorable outcome in patients with intracerebral hemorrhage. J Neurosurg 2006;105:465-467
6. Nader B., Alexander K ,Poyee T, et al. Prospective analy- sis of prevalence, distribution, and rate of recovery of left ventricular systolic dysfunction in patients with sub- arachnoid hemorrhage. J Neurosurg 2006;105:15-20
7. Wittstein IS, Thiemann DR, Lima JA, et al. Neurohumor- al features of myocardial stunning due to sudden emo- tional stress. N Engl J Med 2005;352:539-548
8. Kume T, Akasaka T, Kawamoto T, et al. Assessment of coronary microcirculation in patients with takotsubo-like left ventricular dysfunction. Circ J 2005;69:934-939
9. Akashi YJ, Barbaro G, Sakurai T, Nakazawa K, Miyake F. Cardiac autonomic imbalance in patients with revers- ible ventricular dysfunction takotsubo cardiomyopathy. QJM 2007;100:335-343
10. Scholte AJ, Bax JJ, Stokkel MP, et al. Multimodality im- aging to diagnose takotsubo cardiomyopathy. J Nucl Cardiol 2006;13:123-126
11. Kume T, Akasaka T, Kawamoto T, et al. Assessment of coronary microcirculation in patients with takotsubo-like left ventricular dysfunction. Circ J 2005;69:934-939
12. Yoshioka T, Hashimoto A, Tsuchihashi K,et al. Clinical implications of midventricular obstruction and intrave- nous propranolol use in transient left ventricular apical ballooning (Tako-tsubo cardiomyopathy). Am Heart J 2008;155:526.1-7
13. Gianni M, Dentali F, Grandi AM, Sumner G, Hiralal R, Lonn E. Apical ballooning syndrome or takotsubo cardio- myopathy: A systematic review. Eur Heart J 2006;27: 1523-1529
14. Bybee KA, Kara T, Prasad A, et al. Systematic review: Transient left ventricular apical ballooning: A syndrome that mimics ST-segment elevation myocardial infarction. Ann Intern Med 2004;141:858-865
15. Desmet WJ, Adriaenssens BF, Dens JA. Apical balloon- ing of the left ventricle: First series in white patients. Heart (Brit Cardiac Soc) 2003;89:1027-1031
16. Dorfman TA, Iskandrian AE, Aqel R. An unusual mani- festation of Tako-tsubo cardiomyopathy. Clin Cardiol 2008;31:194-200
17. Sharkey SW, Lesser JR, Zenovich AG, et al. Acute and reversible cardiomyopathy provoked by stress in women from the United States. Circulation 2005;111:472-479
18. Cherian J, Kothari S, Angelis D, et al. Atypical takotsubo cardiomyopathy: Dobutamine-precipitated apical ball- ooning with left ventricular outflow tract obstruction. Texas Heart Inst J 2008;35:73-75
19. Mitchell JH, Hadden TB, Wilson JM, et al. Clinical features and usefulness of cardiac magnetic resonance imaging in assessing myocardial viability and prognosis in Takotsubo cardiomyopathy (transient left ventricular apical ballooning syndrome). Am J Cardiol 2007;100: 296-301
20. Dote K, Sato H, Tateishi H, et al. Myocardial stunning due to simultaneous multivessel coronary spasms: a re- view of 5 cases. J Cardiol 1991;21:203-214
21. Akashi YJ, Nakazawa K, Sakakibara M, et al. The clini- cal features of takotsubo cardiomyopathy Q J Med 2003;96:563-573
22. Salathe M, Weiss P, Ritz R. Rapid reversible of heart failure in a patient with phaeochromocytoma and cat- echolamineinduced cardiomyopathy who was treated with captopril. Br Heart J 1992;68:527-528
23. Scott IU, Guttermann DD. Pheochromocytoma with reversible focal cardiac dysfunction. Am Heart J 1995;130:909-911
24. Brandspiegel HZ, Marinchak RA, Kowey PR. A broken heart. Circulation 1998;98:1349
25. Yamabe H, Hanaoka J, Funakoshi T, Iwahashi M, Takeuchi M, Saito K, Kawashima S, Yokoyama M. Deep negative T waves and abnormal cardiac sympathetic image (123 I-MIBG) after the great Hanshin earthquake of 1995. Am J Med Sci 1996;311:221-224
26. Akashi Y, Nakazawa K,. Sakakibara M, et al. The clinical features of takotsubo cardiomyopathy. Q J Med 2003;96: 563-573
27. Goldman LE, Sahlas DJ, Sami M. A case of thyrotoxicosis and reversible systolic cardiac dysfunction. Can J Cardiol 1999;15:811-814
28. Brett A. Sealove, Satish Tiyyagura, Valentin Fuster. Takotsubo Cardiomyopathy. J Gen Intern Med 2008;23 (11):1904-1908
29. Ibanez B, Navarro F, Cordoba M, M-Alberca P, Farre J. Tako-tsubo transient left ventricular apical ballooning: is intravascular ultrasound the key to resolve the enigma? Heart 2005;91(1):102-104
30. Nef HM, Möllmann H, Akashi YJ, Hamm CW. Mecha- nisms of stress (Takotsubo) cardiomyopathy. Nat Rev Cardiol 2010 Apr;7(4):187-193
31. AntonopoulosA, Kyriacou C.Apical ballooning syndrome or Takotsubo cardiomyopathy: a new challenge in acute cardiac care. Cardiol J 2008;15(6):572-577
32. Palecek T, Kuchynka P, Linhart A. Treatment of takotsubo cardiomyopathy. Curr Pharm Des 2010;16(26):2905- 2909
33. Bonacchi M, Valente S, Harmelin G, Gensini GF, Sani G. Extracorporeal life support as ultimate strategy for refractory severe cardiogenic shock induced by Takot- subo cardiomyopathy: a new effective therapeutic option. Artif Organs 2009 Oct;33(10):866-870