Takotsubo cardiomyopathy following envenomation:An updated review
作者机构：Division of CardiologySaint Vincent HospitalWorcesterMA 01608United States Department of MedicineSaint Vincent HospitalWorcesterMA 01608United States Department of MedicineTufts Medical CenterBostonMA 02111United States Department of MedicineNorth Alabama Medical CenterFlorenceAL 35630United States
出 版 物：《World Journal of Cardiology》 (世界心脏病学杂志（英文版）（电子版）)
年 卷 期：2023年第15卷第1期
页 面：33-44页
学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学]
主 题：Takotsubo cardiomyopathy Envenomation Mechanism Outcome
摘 要：BACKGROUND Takotsubo cardiomyopathy(TTC)can be diagnosed in patients presenting with clinical features of acute coronary syndrome(ACS)by using Mayo clinic *** precipitators have been attributed to causing *** it has been reported to occur following an acute *** This review describes the various patterns,mechanisms,and outcomes of envenomation induced *** In this review,we included all studies on“TTCand“envenomationpublished in the various databases before June *** be included in the review articles had to have a distinct diagnosis of TTC and an envenomation RESULTS A total of 20 patients with envenomation induced TTC were *** episodes of envenomation induced TTC were reported following a bee sting,scorpion sting,and snake *** and anxiety related to the sting,direct catecholamine toxicity and administration of exogenous beta-adrenergic agents have been commonly postulated to precipitate TTC in these patients.95%of these patients presented with a clinical picture of *** of these patients also fulfill at least 3 out of 4 criteria of Mayo clinic criteria for *** evidence of Apical TTC was noted in 72%of patients.94%of these patients had clinical improvement following optimal management and 35%of these patients were treated with guideline directed medications for heart *** Envenomation following multiple insect stings and reptile bites can precipitate *** reported envenomation related TTC has been due to bee stings and scorpion *** mechanisms causing TTC were fear,anxiety,and stress of *** of these patients present with clinical presentation of ACS,ST elevation,and elevated *** most common type of TTC in these patients is Apical,which improved following medical management.
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