Medicina Fluminensis, Vol. 57 No. 2, 2021.
Case report
https://doi.org/10.21860/medflum2021_371659
Pathophysiological association of catecholamine stress in a patient with Takotsubo cardiomyopathy and chronic kidney disease: a case report
Domagoj Vučić
orcid.org/0000-0003-3169-3658
; Department of Internal medicine, General Hospital ''Dr. Josip Benčević" Slavonski Brod, Croatia
Zvonimir Bosnić
; Family medicine practice, Healthcare center Slavonski Brod, Croatia
Katica Cvitkušić Lukenda
; Department of Internal medicine, General Hospital ''Dr. Josip Benčević" Slavonski Brod, Croatia
Krešimir Gabaldo
; Department of Internal medicine, General Hospital ''Dr. Josip Benčević" Slavonski Brod, Croatia
Marijana Knežević Praveček
; Department of Internal medicine, General Hospital ''Dr. Josip Benčević" Slavonski Brod, Croatia
Ninoslav Leko
; Department of Internal medicine, General Hospital ''Dr. Josip Benčević" Slavonski Brod, Croatia
Blaženka Miškić
; Department of Internal medicine, General Hospital ''Dr. Josip Benčević" Slavonski Brod, Croatia
Abstract
Abstract. Aim: Takotsubo cardiomyopathy is a transient dysfunction of the heart muscle that occurs in response to a stressful event. A working diagnosis is mostly made for acute ischemic heart disease due to similar clinical presentation and differential diagnostic doubts. Although it is a reversible disorder of cardiac contractility, mortality rate is similar to that of an acute coronary syndrome due to the development of complications. We report the case of a patient with chronic kidney disease and the consequent development of Takotsubo cardiomyopathy, a possible pathophysiological link that has not been reported in the significant number in literature so far. Case report: An 83-year-old patient on a chronic hemodialysis program, due to the development of anginal symptoms specific for the acute coronary syndrome and with a significant increase in cardiospecific enzymes, was transferred to the Coronary care unit for the necessary invasive cardiac treatment. Echocardiographic and coronarographic findings confirmed the diagnosis of Takotsubo cardiomyopathy, which was the first case in a patient on chronic hemodialysis program in our institution. Conslusions: According to available data, about 30 cases of Takotsubo cardiomyopathy have been reported so far, indicating that transient myocardial dysfunction is a rare cardiomyopathy in patients with chronic kidney disease. A small number of literature-recorded cases do not support the similar pathophysiological basis of increased sympathetic activity present in Takotsubo cardiomyopathy and chronic kidney disease.
Keywords
catecholamines; chronic renal insufficiency; hemodialysis; pathophysiology; Takotsubo cardiomyopathy
Hrčak ID:
255665
URI
Publication date:
1.6.2021.
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