Key result
Fluid resuscitation and intravenous metoprolol successfully stabilized cardiogenic shock in a patient with Takotsubo cardiomyopathy and dynamic left ventricular outflow tract obstruction.
Population
A 73-year-old female patient admitted with chest pain, malaise, and near syncope
Design
Case report
Authors
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May support fluid and IV metoprolol in select Takotsubo shock with LVOTO; hypothesis-generating, requires prospective validation.
Case Report (n=1)
In Takotsubo cardiomyopathy complicated by cardiogenic shock and dynamic LVOTO, treatment with beta-blockers and volume therapy can rapidly stabilize hemodynamics and resolve the obstruction.
Conradi et al. (2021) conducted a case report in Takotsubo cardiomyopathy with dynamic left ventricular outflow tract obstruction and cardiogenic shock (n=1). Fluid resuscitation and intravenous metoprolol was evaluated on Haemodynamic stabilisation and resolution of left ventricular outflow tract obstruction. Fluid resuscitation and intravenous metoprolol successfully stabilized cardiogenic shock in a patient with Takotsubo cardiomyopathy and dynamic left ventricular outflow tract obstruction.
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