Key result
Management of cardiogenic shock in Takotsubo cardiomyopathy complicated by left ventricular outflow tract obstruction, mitral regurgitation, and left ventricular dysfunction presents a significant clinical challenge.
Why the study?
Takotsubo cardiomyopathy can present as cardiogenic shock with the clinical challenge of balancing contrasting management strategies for coexisting LVOTO, MR, and LV failure.
Case Report (n=1)
Highlights the complex management of cardiogenic shock in Takotsubo cardiomyopathy when complicated by concurrent LVOTO, severe MR, and LV dysfunction.
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TC shock with LVOTO may require tailored management amid pandemic stress; leaves open optimal strategies in larger studies.
Rates of stress (Takotsubo) cardiomyopathy have increased during the coronavirus pandemic due to social stressors, even in patients who are not infected with the virus. At times, Takotsubo cardiomyopathy (TC) may present as cardiogenic shock. Herein, we present a case during the pandemic of shock from TC secondary to left ventricular outflow tract obstruction (LVOTO), mitral regurgitation (MR), and left ventricular (LV) dysfunction. The contrasting management strategy of LVOTO, MR, and LV failure was cause for clinical challenge, and we highlight the balance of treating these opposing forces.
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Methvin et al. (2022) conducted a case report in Takotsubo cardiomyopathy with cardiogenic shock (n=1). Management of opposing hemodynamic forces (LVOTO, MR, and LV failure) was evaluated. Management of cardiogenic shock in Takotsubo cardiomyopathy complicated by left ventricular outflow tract obstruction, mitral regurgitation, and left ventricular dysfunction presents a significant clinical challenge.
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