Mechanical Circulatory Support Strategies in Takotsubo Syndrome with Cardiogenic Shock: A Systematic Review
Abstract
:1. Introduction
2. Materials and Methods
2.1. Search Strategies
2.2. Inclusion Criteria
- TTS diagnosis consistent with the InterTAK Diagnostic Criteria and designated as such by the authors;
- Use of temporary MCS: IABP, ECLS, Impella, TandemHeart;
- Individually reported patient data in terms of pre-intervention status, survival and time on support.
2.3. Data Extraction
2.4. Statistics
3. Results
3.1. Literature Research
3.2. Demographics and Device Groups
3.3. Pre-MCS Status of the Patients
3.4. Outcome and Follow-Up
3.5. Comparison of the Device Groups
4. Discussion
5. Limitations
6. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
J.K.R.v.M. | None. |
V.I.T.Z. | None. |
A.E.S. | None. |
K.M.V.P. | None. |
R.H. | None. |
F.S. | Institutional grants from Novartis and Abbott; non-financial support from Medtronic and institutional fees (speaker honoraria) from Orion Pharma outside of the submitted work. |
J.K. | Grants or contracts from any entity: Edwards and LivaNova. Payment or honoraria for lectures, presentations, speaker bureaus, manuscript writing or educational events: Edwards, Medtronic, Abbott, LivaNova and CryoLife. Leadership or fiduciary role in other board, society, committee or advocacy group, paid or unpaid: TC EACTS, ECSC Board, and ISMICS Board. |
C.T.S. | Payment to his institution in the form of speaker fees, honoraria, consultancy, advisory board fees, investigator and committee membership: AngioDynamics, Abiomed, Medtronic, Spectranetics, Biotronik, LivaNova (Sorin) and Cook Medical. Departmental or institutional research funding: Cook Medical. |
E.V.P. | Consulting fees: Abbott (institutional grants), Medtronic (institutional grants) and Abiomed (institutional grants). Payment or honoraria for lectures, presentations, speaker bureaus, manuscript writing or educational events: Abbott (institutional grants), Medtronic (institutional grants) and Abiomed (institutional grants). Support for attending meetings and/or travel: Abbott (institutional grants), Medtronic (institutional grants) and Abiomed (institutional grants). Participation in Data Safety Monitoring Board or Advisory Board: Abbott and Medtronic. |
V.F. | Grants or contracts from any entity: Medtronic GmbH, Biotronik SE & Co., Abbott GmbH & Co. KG, Boston Scientific, Edwards Lifesciences, Berlin Heart, Novartis Pharma GmbH, JOTEC/CryoLife GmbH, LivaNova and Zurich Heart. I hereby declare that I have relevant (institutional) financial activities outside the submitted work with the mentioned commercial entities in relation to educational grants (including travel support), fees for lectures and speeches, fees for professional consultation, research and study funds. |
L.W. | None. |
Glossary of Abbreviations
LV | left ventricle/left ventricular |
LVAD | left ventricular assist device |
BiVAD | biventricular assist device |
ECMO | extracorporeal membrane oxygenation |
ECLS | extracorporeal life support |
IABP | intra-aortic balloon pump |
LVEF | left ventricular ejection fraction |
NYHA | New York Heart Association |
TTS | Takotsubo syndrome |
CS | cardiogenic shock |
ACS | acute coronary syndrome |
MCS | mechanical circulatory support |
MR | mitral regurgitation |
SAM | systolic anterior motion |
MAP | mean arterial pressure |
CO | cardiac output |
AKI | acute kidney injury |
HB | haemoglobin |
Appendix A. Included Publications
Author | Journal | Year | Title | Number of Patients |
A. A. Oredegbe and M. Awad | Cureus | 2023 | Catecholamine Mega Storm Triggered by Cocaine Use and Thyrotoxicosis Crisis | 1 |
A. Badouin and O. Bastien | Anaesth Crit Care Pain Med | 2015 | ECLS indication for a case of stress myocardiopathy associated with severe asthma | 1 |
A. Benak, M. Sramko, B. Janek et al. | Cureus | 2022 | Successful Treatment of Cardiogenic Shock Due to Takotsubo Cardiomyopathy With Left Ventricular Outflow Tract Obstruction and Acute Mitral Regurgitation by Impella CP | 1 |
A. Beneduce, L. Fausta Bertoldi, F. Melillo et al. | JACC Cardiovasc Interv | 2019 | Mechanical Circulatory Support With Impella Percutaneous Ventricular Assist Device as a Bridge to Recovery in Takotsubo Syndrome Complicated by Cardiogenic Shock and Left Ventricular Outflow Tract Obstruction | 1 |
A. H. Koop, R. E. Bailey and P. E. Lowman | BMJ Case Rep | 2018 | Acute pancreatitis-induced Takotsubo cardiomyopathy and cardiogenic shock treated with a percutaneous left ventricular assist device | 1 |
A. K. Tiwari and N. D’Attellis | J Cardiothorac Vasc Anesth | 2008 | Intraoperative left ventricular apical ballooning: transient Takotsubo cardiomyopathy during orthotopic liver transplantation | 1 |
A. Lauterio, M. Bottiroli, A. Cannata et al. | Minerva Anestesiol | 2022 | Successful recovery from severe inverted Takotsubo cardiomyopathy after liver transplantation: the efficacy of extracorporeal membrane oxygenation (ECMO) | 1 |
A. Mohammedzein, A. Taha, A. Salwan et al. | JACC Case Rep | 2019 | Impella Use in Cardiogenic Shock Due to Takotsubo Cardiomyopathy With Left Ventricular Outflow Tract Obstruction | 1 |
A. Omosule, M. F. Malik, L. Cisneros et al. | J Cardiothorac Vasc Anesth | 2019 | Takotsubo Cardiomyopathy After Double-Lung Transplantation: Role of Early Extracorporeal Membrane Oxygenation Support | 1 |
A. Rashed, S. Won, M. Saad et al. | BMJ Case Rep | 2015 | Use of the Impella 2.5 left ventricular assist device in a patient with cardiogenic shock secondary to Takotsubo cardiomyopathy | 1 |
A. Vachiat, K. McCutcheon, A. Mahomed et al. | Cardiovasc J Afr | 2016 | Takotsubo cardiomyopathy post liver transplantation | 1 |
A. Yazicioglu, M. Subasi, S. Turkkan et al. | Turk Gogus Kalp Damar Cerrahisi Derg | 2018 | An uncommon cause for grade 3 primary graft dysfunction after lung transplantation: Takotsubo cardiomyopathy | 1 |
B. F. Sagger Mawri, Hazem Malas, Sachin Parikh et al. | Scient Open Access | 2017 | Mechanical Hemodynamic Support as a Bridge to Recovery in Severe Takotsubo Cardiomyopathy with Marked Left Ventricular Outflow Tract Obstruction and Cardiogenic Shock | 1 |
B. Flam, M. Broome, B. Frenckner et al. | J Intensive Care Med | 2015 | Pheochromocytoma-Induced Inverted Takotsubo-Like Cardiomyopathy Leading to Cardiogenic Shock Successfully Treated With Extracorporeal Membrane Oxygenation | 1 |
B. Hassid, S. Azmoon, W. S. Aronow et al. | Arch Med Sci | 2010 | Hemodynamic support with TandemHeart in tako-tsubo cardiomyopathy—a case report | 1 |
B. Laliberte and B. N. Reed | Am J Health Syst Pharm | 2017 | Use of an argatroban-based purge solution in a percutaneous ventricular assist device | 1 |
B. M. M. Faria, J. Portugues, R. Roncon-Albuquerque et al. | Eur Heart J Case Rep | 2020 | Inverted Takotsubo syndrome complicated with cardiogenic shock requiring veno-arterial extracorporeal membrane oxygenation in a patient with bilateral pheochromocytoma: a case report | 1 |
C. Dominedo, E. D’Avino, A. Martinotti et al. | Eur Heart J Case Rep | 2021 | A rare pheochromocytoma complicated by cardiogenic shock and posterior reversible encephalopathy syndrome: case report | 1 |
C. J. van Zwet, A. Rist, A. Haeussler et al. | A A Case Rep | 2016 | Extracorporeal Membrane Oxygenation for Treatment of Acute Inverted Takotsubo-Like Cardiomyopathy From Hemorrhagic Pheochromocytoma in Late Pregnancy | 1 |
C. Zeballos, R. J. Moraca, S. H. Bailey et al. | J Card Surg | 2012 | Temporary mechanical circulatory support for Takotsubo cardiomyopathy secondary to primary mediastinal B-cell lymphoma | 1 |
D. Basic, G. Klug, B. Haubner et al. | Eur Heart J | 2019 | Left ventricular unloading by percutaneous mechanical circulatory support in Takotsubo syndrome with severe cardiogenic shock | 1 |
D. Ghanim, Z. Adler, D. Qarawani et al. | J Med Case Rep | 2015 | Takotsubo cardiomyopathy caused by epinephrine-treated bee sting anaphylaxis: a case report | 1 |
D. Laghlam, O. Touboul, M. Herry et al. | Front Cardiovasc Med | 2022 | Takotsubo cardiomyopathy after cardiac surgery: A case-series and systematic review of literature | 2 |
D. W. Donker, E. Pragt, P. W. Weerwind et al. | Int J Cardiol | 2012 | Rescue extracorporeal life support as a bridge to reflection in fulminant stress-induced cardiomyopathy | 1 |
E. Barsoum, S. Elhosseiny, B. Patel et al. | Heart Lung | 2021 | Successful use of the impella ventricular assist device for management of reverse Takotsubo Cardiomyopathy in the setting of acute intracranial hemorrhage | 1 |
E. C. Busse and J. M. Wiater | JBJS Case Connect | 2015 | Perioperative Takotsubo Cardiomyopathy: A Rare Cardiac Complication Following Orthopaedic Surgery: A Case Report | 1 |
E. D Foley, Ricardo Diaz and Manuel R Castresana | SAGE Open Med Case Rep | 2017 | Prolonged circulatory support with an Impella assist device in the management of cardiogenic shock associated with Takotsubo syndrome, severe sepsis and acute respiratory distress syndrome | 1 |
E. f. J. Hamid T, Fraser D, Fath-Ordoubadi F | J Clin Exp Cardiolog | 2013 | Use of the Impella Left Ventricular Assist Device as a Bridge to Recovery in a Patient with Cardiogenic Shock Related to Takotsubo Cardiomyopathy. | 1 |
E. T. Wu, T. H. Lin, C. H. Lin et al. | Taiwan J Obstet Gynecol | 2014 | Left ventricular assist device for stress-induced cardiomyopathy after postpartum hemorrhage | 1 |
F. F. Zhou, J. S. Ding, M. Zhang et al. | Open Med (Wars) | 2022 | Paraganglioma-induced inverted Takotsubo-like cardiomyopathy leading to cardiogenic shock successfully treated with extracorporeal membrane oxygenation | 1 |
F. Yazdi, M. Blackmon, A. Kattubadi et al. | Cureus | 2023 | Seizure-Induced Cardiomyopathy: A Case of Takotsubo Cardiomyopathy Following an Epileptic Event | 1 |
F. Zilio, S. Muraglia and R. Bonmassari | European Heart Journal—Case Reports | 2021 | Cardiac arrest complicating cardiogenic shock: from pathophysiological insights to Impella-assisted cardiopulmonary resuscitation in a pheochromocytoma-induced Takotsubo cardiomyopathy-a case report | 1 |
G. Caturegli, M. A. Crane, E. Etchill et al. | ASAIO J | 2022 | Stress-Induced (Takotsubo) Cardiomyopathy After Liver Transplant Rescued with Venoarterial Extracorporeal Membrane Oxygenation | 1 |
G. Hekimian, F. Kharcha, N. Brechot et al. | Ann Intensive Care | 2016 | Extracorporeal membrane oxygenation for pheochromocytoma-induced cardiogenic shock | 9 |
G. Rojas-Marte, J. John, A. Sadiq et al. | Cardiovasc Revasc Med | 2015 | Medication-induced Takotsubo Cardiomyopathy presenting with cardiogenic shock-utility of extracorporeal membrane oxygenation (ECMO): case report and review of the literature | 1 |
H. Sumida, K. Morihisa, K. Katahira et al. | Intern Med | 2017 | Isolated Right Ventricular Stress (Takotsubo) Cardiomyopathy | 1 |
H. Zhang and X. Liao | J Card Surg | 2021 | Takotsubo cardiomyopathy following pericardiectomy: A case report | 1 |
I. Schroeder, M. Zoller, M. Angstwurm et al. | nt J Artif Organs | 2017 | Venlafaxine intoxication with development of Takotsubo cardiomyopathy: successful use of extracorporeal life support, intravenous lipid emulsion and CytoSorb® | 1 |
J. Feghaly, Z. Oman, D. Das et al. | Cureus | 2021 | Recurrent Stress-Induced Cardiomyopathy With Cardiogenic Shock Requiring Impella Left Ventricular Assist Device | 1 |
J. H. Choi, I. D. Oh, E. Shin et al. | Acute Crit Care | 2020 | Extracorporeal membrane oxygenation for Takotsubo cardiomyopathy that developed after mitral valve replacement | 1 |
J. J. J. Aalberts, T. J. Klinkenberg, M. A. Mariani et al. | Eur Heart J | 2017 | Mechanical circulatory support for refractory cardiogenic shock in Takotsubo syndrome: a case report and review of the literature | 1 |
J. Kirigaya, N. Iwahashi, R. Tanaka et al. | Cureus | 2022 | A Fatal Case of Takotsubo Cardiomyopathy Secondary to Refractory Hypoglycemia in Severe Starvation: An Autopsy Case Report | 1 |
J. Mierke, T. Loehn, A. Linke et al. | Eur Heart J Case Rep | 2019 | Reverse Takotsubo cardiomyopathy- life-threatening symptom of an incidental pheochromocytoma: a case report | 1 |
J. O’Brien, S. Mahony, R. J. Byrne et al. | Eur Heart J Case Rep | 2021 | Dynamic left ventricular outflow tract gradient resulting from Takotsubo cardiomyopathy ameliorated by intra-aortic balloon pump counterpulsation: a case report | 1 |
J. Wei, L. Zhang, X. Ruan et al. | Front Cardiovasc Med | 2022 | Case Report: Takotsubo Syndrome Induced by Severe Anaphylactic Reaction During Anesthesia Induction and Subsequent High-Dose Epinephrine Resuscitation | 1 |
K. T. Webster, T. Apridonidze, P. R. Mopala et al. | Can J Cardiol 2019 | 2019 | Stress-Induced Cardiomyopathy Complicated by Dynamic Left Ventricular Outflow Obstruction, Cardiogenic Shock, and Ventricular Septal Rupture | 1 |
K. X. Fu, B. H. Z. Ng and M. H. X. Chua | BMC Pediatr | 2019 | A unique case of acute brain haemorrhage with left ventricular systolic failure requiring ECMO | 1 |
K. Yamane, H. Hirose, G. R. Reeves et al. | J Heart Valve Dis | 2011 | Left ventricular dysfunction mimicking Takotsubo cardiomyopathy following cardiac surgery | 1 |
L. C. Napp, R. Westenfeld, J. E. Møller et al. | Cardiovasc Revasc Med | 2022 | Impella Mechanical Circulatory Support for Takotsubo Syndrome With Shock: A Retrospective Multicenter Analysis | 16 |
L. Paton and I. Quasim | Br J Anaesth | 2013 | Takotsubo cardiomyopathy: issues for the intensivist | 1 |
L. Wert, J. Kempfert, V. Falk et al. | Interdiscip Cardiovasc Thorac Surg | 2023 | Transaxillary implantation of a temporary microaxial left ventricular assist device in a patient with a rectangular kinked subclavian artery | 1 |
M. Bonacchi, A. Vannini, G. Harmelin et al. | Interact Cardiovasc Thorac Surg | 2015 | Inverted-Takotsubo cardiomyopathy: severe refractory heart failure in poly-trauma patients saved by emergency extracorporeal life support | 4 |
M. Bonacchi, S. Valente, G. Harmelin et al. | Artif Organs | 2009 | extracorporeal life support as ultimate strategy for refractory severe cardiogenic shock induced by Tako-tsubo cardiomyopathy: a new effective therapeutic option | 1 |
M. Hanif, M. A. Haider, Q. Xi et al. | Cureus | 2020 | Takotsubo Cardiomyopathy Triggered by the Death of Pets (Cats): Two Case Reports | 1 |
M. Husaini, J. N. Baker, S. Cresci et al. | JACC Case Rep | 2022 | Recurrent Takotsubo Cardiomyopathy in a Patient With Hypertrophic Cardiomyopathy Leading to Cardiogenic Shock Requiring VA-ECMO | 1 |
M. Moguilevitch, M. Rufino, J. Leff et al. | Liver Transpl | 2015 | Novel approach for heart failure treatment after liver transplantation | 1 |
M. Nakamura, M. Nakagaito, M. Hori et al. | J Artif Organs | 2019 | A case of Takotsubo cardiomyopathy with cardiogenic shock after influenza infection successfully recovered by IMPELLA support | 1 |
M. P. Silva, E. M. Vilela, R. L. Lopes et al. | Rev Port Cardiol | 2015 | Cardiogenic shock induced by Takotsubo cardiomyopathy: A new therapeutic option | 1 |
O. Kiamanesh, E. N. Vu, D. L. Webber et al. | JACC Case Rep | 2019 | Pheochromocytoma-Induced Takotsubo Syndrome Treated With Extracorporeal Membrane Oxygenation: Beware of the Apical Sparing Pattern | 1 |
P. A. Cotinet, P. Bizouarn, F. Roux et al. | Heart Lung | 2021 | Management of cardiogenic shock by circulatory support during reverse Tako-Tsubo following amphetamine exposure: A report of two cases | 2 |
R. Dalla Pozza, A. Lehner, S. Ulrich, M. Nabauer et al. | World J Pediatr Congenit Heart Surg | 2020 | Takotsubo Cardiomyopathy Complicating Percutaneous Pulmonary Valve Implantation in a Child | 1 |
R. Gurreri, P. Poommipanit and A. Alghamdi | Oxf Med Case Reports | 2023 | Cardiogenic shock secondary to stress-induced cardiomyopathy precipitated by severe diabetic ketoacidosis | 1 |
R. Hamdan, M. E. Nassef, J. Khan et al. | Ann Cardiol Angeiol | 2022 | Reverse Takotsubo ou myocardite fulminante ? Succes de VA ECMO chez une patiente ayant une atteinte cardiaque liee COVID 19 | 1 |
R. Kakizaki, N. Bunya, S. Uemura et al. | Acute Med Surg | 2019 | Takotsubo cardiomyopathy developed during rewarming of accidental hypothermia with extracorporeal membrane oxygenation | 1 |
R. Korabathina, W. Abel and A. Labovitz | Case Rep Cardiol | 2016 | Cardiogenic Shock due to Psychosis-Induced Inverted Takotsubo Cardiomyopathy Bridged-to-Recovery with a Percutaneous Left Ventricular Assist Device | 1 |
R. Nishikawa, N. Nagano, N. Kokubu et al. | Int Heart J | 2021 | Favorable Effects of Impella on Takotsubo Syndrome Complicated with Cardiogenic Shock | 4 |
R. S. Biondi, V. S. Barzilai, A. L. C. Watanabe et al. | Rev Bras Ter Intensiva | 2018 | Use of extracorporeal membrane oxygenation for treating acute cardiomyopathy after liver transplantation: a case report | 1 |
R. V. Reddy, S. Agarwal, V. Choudhary et al. | Indian J Anaesth | 2018 | Reverse stress cardiomyopathy post-liver transplant needing mechanical circulatory support | 1 |
S. An, H. I. Ma, J. Song et al. | BMC Neurol | 2020 | Stress cardiomyopathy associated with area postrema syndrome as a presentation of neuromyelitis optica: case report | 1 |
S. Elapavaluru, A. Gologorsky, N. Thai et al. | J Cardiothorac Vasc Anesth | 2017 | Perioperative Stress Cardiomyopathy in Simultaneous Liver and Kidney Transplantation: A Call for Early Consideration of Mechanical Circulatory Support | 1 |
S. Fang, Y. Wang, P. K. He et al. | Medicine (Baltimore) | 2021 | Cardiogenic shock caused by Takotsubo syndrome complicated with severe anxiety: A case report and literature review | 1 |
S. Forsberg, L. Abazi and P. Forsman | J Med Case Rep | 2021 | Successful use of extended cardiopulmonary resuscitation followed by extracorporeal oxygenation after venlafaxine-induced Takotsubo cardiomyopathy and cardiac arrest: a case report | 1 |
S. H. Park, M. K. Song, G. B. Kim et al. | Chonnam Med J | 2019 | Stress Induced Cardiomyopathy Requiring Ventricular Assist Device Support in an 8-Year-Old Girl with Acute Leukemia | 1 |
S. Kaese, C. Schulke, D. Fischer et al. | Intensive Care Med | 2013 | Pheochromocytoma-induced Takotsubo-like cardiomyopathy and global heart failure with need for extracorporal life support | 1 |
S. Kurisu, K. Ishibashi, Y. Kato et al. | Intern Med | 2012 | Tako-tsubo cardiomyopathy complicated by QRS prolongation | 1 |
S. Lee, S. P. Lim, J. H. Yu et al. | Korean J Thorac Cardiovasc Surg | 2011 | Stress-induced Cardiomyopathy during Pulmonary Resection (Takotsubo Syndrome)—A case report | 1 |
S. Li, M. M. Koerner, A. El-Banayosy et al. | Ann Thorac Surg | 2014 | Takotsubo’s syndrome after mitral valve repair and rescue with extracorporeal membrane oxygenation | 1 |
S. Modi and D. Ramsdale | Int J Cardiol | 2011 | Tako-tsubo, hypertrophic obstructive cardiomyopathy & muscle bridging--separate disease entities or a single condition? | 1 |
S. Park, M. Kim, D. I. Lee et al. | Acute Crit Care | 2022 | Successful extracorporeal membrane oxygenation treatment of catecholamine-induced cardiomyopathy-associated pheochromocytoma | 1 |
S. Sossalla, C. Meindl, M. Fischer et al. | Circ Cardiovasc Interv | 2019 | Bail-Out Alcohol Septal Ablation for Hypertrophic Obstructive Cardiomyopathy in a Patient With Takotsubo Cardiomyopathy-Induced Cardiogenic Shock | 1 |
S. Sundaravel, A. Alrifai, M. Kabach et al. | Case Rep Cardiol | 2017 | FOLFOX Induced Takotsubo Cardiomyopathy Treated with Impella Assist Device | 1 |
T. Attisano, A. Silverio, C. Prota et al. | ESC Heart Failure | 2020 | Impella in Takotsubo syndrome complicated by left ventricular outflow tract obstruction and severe mitral regurgitation | 1 |
T. Bleser, C. Weth and G. Gorge | Med Klin Intensivmed Notfmed | 2013 | Reverse Takotsubo cardiomyopathy-a life-threatening disease. Successful resuscitation of a 31-year-old woman with cardiologic shock after a visit to the dentist | 1 |
T. E. Pearson, M. A. Frizzola, M. A. Priest et al. | Air Med J | 2018 | Pediatric Extracorporeal Cardiopulmonary Resuscitation Patient With Traumatic Subarachnoid Hemorrhage and Takotsubo Syndrome | 1 |
T. K. Yoo, J. Y. Lee, K. C. Sung et al. | J Cardiovasc Ultrasound | 2016 | Stress-Induced Cardiomyopathy Presenting as Shock | 1 |
T. Lyu, J. Niu, Z. Liu et al. | Front Cardiovasc Med | 2022 | Case Report: Early Resection of Pheochromocytoma in a Patient With Cardiogenic Shock Due to Pheochromocytoma-Induced Cardiomyopathy With Extracorporeal Life Support | 1 |
V. V. Garla, S. Gosi, S. Kanduri et al. | BMJ Case Rep | 2019 | A case of catecholamine-induced cardiomyopathy treated with extracorporeal membrane oxygenation | 1 |
X. Fan, P. Liu and L. Bai | Eur Heart J Case Rep | 2022 | Cardiogenic shock due to Takotsubo cardiomyopathy associated with thyroid crisis: a case report | 1 |
Y. Luo, X. Ye, L. Zhang et al. | Echocardiography | 2023 | A rare case of cardiogenic shock caused by Takotsubo syndrome associated with SARS-CoV-2 infection: The value of echocardiography in the diagnosis and monitoring of the efficacy of extracorporeal membrane oxygenation | 1 |
Y. Xie, A. Zhang, M. Qi et al. | BMC Endocr Disord | 2023 | Pheochromocytoma crisis with refractory Acute Respiratory Distress Syndrome (ARDS), Takotsubo syndrome, emergency adrenalectomy, and need for Extracorporeal Membrane Oxygenation (ECMO) in a previously undiagnosed and asymptomatic patient, due to the use of metoclopramide | 1 |
Y. Y. Jo, S. Park and Y. S. Choi | Anaesth Intensive Care | 2011 | Extracorporeal membrane oxygenation in a patient with stress-induced cardiomyopathy after caesarean section | 1 |
Z. Su, Y. Wang and H. Fei | CASE (Phila) | 2019 | Takotsubo-Like Cardiomyopathy in Pheochromocytoma | 1 |
Z. Y. Zhang, J. J. Sun, J. H. Wang et al. | BMC Cardiovasc Disord | 2023 | Successful treatment of a severe Takotsubo syndrome case complicated by liver abscess | 1 |
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ECMO | Impella | IABP | Others | All | p | |
---|---|---|---|---|---|---|
N | 62 | 44 | 13 | 5 | 124 | |
Impella CP | 18 (40.9%) | |||||
Impella 2.5 | 21 (47.7%) | |||||
Age, median (IQR) | 45 (31–56) | 68 (55–76) | 67.5 (48–69.75) | 46 (26–53) | 52.2 | |
Sex category | 0.275 | |||||
Female | 42 (67.7%) | 34 (77.3%) | 12 (92.3%) | 4 (80%) | 92 (74.2%) | |
Male | 20 (32.3%) | 10 (22.7%) | 1 (7.7%) | 1 (20%) | 32 (25.8%) | |
Inverted TTS | 17 (27.4)% | 4 (9.1%) | 2 (15.4%) | 1 (20%) | 24 (19.4%) | 0.099 |
RV involved | 6 (9.7%) | 1 (2.3%) | 1 (7.7%) | 1 (20%) | 9 (7.3%) | 0.205 |
ECLS | Impella | IABP | Others | All | p | |
---|---|---|---|---|---|---|
Initial LVEF, median (IQR) | 20% (15–24) (n = 43) | 19.4% (19.4–21.35) (n = 38) | 30% (22.5–33) (n = 9) | 20% (9.5–28.5) (n = 5) | 20% (n = 95) | 0.015 |
Inotropes before MCS | 47 (75.8%) | 35 (79.5%) | 11 (84.6%) | 5 (100%) | 98 (79%) | 0.876 |
Respiratory failure | 43 (69.4%) | 13 (29.5%) | 3 (23.1%) | 2 (40%) | 61 (49.2%) | <0.001 |
Arrhythmia | 19 (30.6%) | 14 (31.8%) | 6 (46.2%) | 3 (60%) | 42 (33.9%) | 0.002 |
ST elevation | 24 (38.7%) | 22 (50%) | 5 (38.5%) | 2 (40%) | 53 (42.7%) | 0.88 |
ST depression | 10 (16.1%) | 5 (11.4%) | 3 (23.1%) | 0 | 18 (14.5) | 0.002 |
T-wave inversion | 16 (25.8%) | 6 (13.6%) | 4 (30.8%) | 0 | 26 (21%) | 0.002 |
Troponin elevation | 44 (71%) | 24 (54.5%) | 11 (84.6%) | 2 (40%) | 81 (65.3%) | 0.067 |
Cardiac arrest | 23 (37.1%) | 9 (20.5%) | 3 (32.1%) | 2 (40%) | 37 (29.8%) | 0.081 |
Angiography before MCS | 31 (50%) | 41 (93.2%) | 10 (76.9%) | 1 (20%) | 83 (66.9%) | <0.001 |
NTproBNP, mean | 8293.5 (n = 13) | 13,697.4 (n = 5) | 1832.0 (n = 3) | 22,842 (n = 1) | 9301.85 (n = 22) | 0.089 |
BNP, mean | 6342.3 (n = 8) | 946 (n = 3) | 4900.0 (n = 1) | n = 0 | 4873 (n = 12) | |
BP syst in mmHg, median (IQR) /MAP in mmHg, mean | 95 (79–141) (n = 35) /59.5 (n = 2) | 80 (73–100) (n = 31) /50 (n = 3) | 82 (80–115) (n = 6) /51.5 (n = 4) | 74 (n = 2) /(n = 0) | 0.134/0.399 | |
HR median (IQR) | 129.5 (100.25–148.75) (n = 32) | 126 (106.25–136.75) (n = 28) | 127 (111–147) (n = 4) | 121 (n = 2) | 0.933 | |
LVEDP, median (IQR) | 25 (n = 3) | 26 (23–30) (n = 11) | 12 (n = 2) | (n = 0) | 0.357 | |
Initial lactate, median (IQR) | 69.8 (52.6–116.2) (n = 18) | 44.1 (27.5–57.6) (n = 22) | 104 (n = 2) | (n = 0) | 0.038 | |
Pheochromocytoma | 17 | 1 (ECMELLA n = 2) | (ECLS + IABP: n = 1) | 19 | ||
Mitral regurgitation | 7 (11.3%) | 5 (11.4%) | 2 (15.4%) | 1 (20%) | 15 (12.1%) | 0.662 |
Systolic anterior motion | 3 (4.8%) | 5 (11.4%) | 2 (15.4%) | 0 | 10 (8.1%) | |
LVOTO | 3 (4.8%) | 7 (15.9%) | 2 (15.4%) | 0 | 12 (9.7%) | 0.174 |
Emotional trigger | 16 (25.8%) | 17 (38.6%) | 15.9 (53.8%) | 4 (80%) | 44 (35.5%) | 0.002 |
Physical trigger | 58 (93.5%) | 22 (50%) | 11 (84.6%) | 4 (80%) | 95 (76.6%) | <0.001 |
Exogenous catecholamine trigger | 4 (6.5%) | 1 (2.3%) | 1 (7.7%) | 0 | 6 (4.8%) | 0.583 |
ECLS | Impella | IABP | Others | All | p | |
---|---|---|---|---|---|---|
Survival in % | 54 (87.1%) | 37 (84.1%) | 11 (84.6%) | 5 (100%) | 107 (86.3%) | 0.855 |
Hours on MCS, median (IQR) | 144 (72–192) (n = 55) | 72 (48–96) (n = 42) | 120 (72–144) (n = 11) | 168 (144–228) | 96 (n = 113) | <0.001 |
MCS complications | 18 (29%) | 12 (27.3%9) | 3.8 (30.8%) | 2 (40%) | 36 (24.2%) | 0.927 |
Follow-up | 45 (72.6%) | 21 (47.7%) | 9 (69.2%) | 4 (80%) | 79 (63.7%) | 0.049 |
Max. follow-up in weeks, median (IQR) | 8 (4–24) (n = 45) | 4 (2–8) (n = 19) | 2 (1.75–9) (n = 9) | 28 (18–44) (n = 4) | 6 (n = 77) | 0.01 |
LVEF in follow-up, median (IQR) | 55% (55–65) (n = 22) | 55.2% (n = 22) | 61% (n = 7) | 67% (57–72) (n = 5) | 58.5% (n = 56) | 0.262 |
Full recovery | 47 (75.8%) | 32 (72.7%) | 8 (61.5%) | 5 (100%) | 92 (74.2%) | 0.458 |
ECLS | Impella | IABP | Others | |
---|---|---|---|---|
Complications under MCS | 18 (29%) | 12 (27.3%) | 4 (30.8%) | 2 (40%) |
Stroke | 1 (1.6%) | 0 | 0 | 0 |
Prolonged weaning of MCS | 2 (3.2%) | 0 | 0 | 0 |
Pericardial tamponade | 2 (3.2%) | 0 | 0 | 0 |
MR development under MCS | 0 | 1 (2.3%) | 0 | 0 |
Ventricle rupture | 0 | 1 (2.3%) | 0 | 0 |
Development of atrial fibrillation under MCS | 1 (1.6%) | 1 (2.3%) | 0 | 0 |
Haemolysis | 0 | 3 (6.8%) | 0 | 0 |
Significant HB drop/bleeding | 4 (6.5%) | 5 (11.4%) | 1 (7.7%) | 0 |
Significant thrombocytopenia | 3 (4.8%) | 3 (6.8%) | 0 | 0 |
AKI | 3 (4.8%) | 3 (6.8%) | 0 | 0 |
Vascular damage in the lower limb | 5 (8.1%) | 1 (2.3%) | 1 (7.7%) | 0 |
Vascular damage in the upper limb | 1 (1.6%) | 0 | 0 | 0 |
Death while on support | 0 | 1 (2.3%) | 2 (15.4%) | 0 |
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von Mackensen, J.K.R.; Zwaans, V.I.T.; El Shazly, A.; Van Praet, K.M.; Heck, R.; Starck, C.T.; Schoenrath, F.; Potapov, E.V.; Kempfert, J.; Jacobs, S.; et al. Mechanical Circulatory Support Strategies in Takotsubo Syndrome with Cardiogenic Shock: A Systematic Review. J. Clin. Med. 2024, 13, 473. https://doi.org/10.3390/jcm13020473
von Mackensen JKR, Zwaans VIT, El Shazly A, Van Praet KM, Heck R, Starck CT, Schoenrath F, Potapov EV, Kempfert J, Jacobs S, et al. Mechanical Circulatory Support Strategies in Takotsubo Syndrome with Cardiogenic Shock: A Systematic Review. Journal of Clinical Medicine. 2024; 13(2):473. https://doi.org/10.3390/jcm13020473
Chicago/Turabian Stylevon Mackensen, Johanna K. R., Vanessa I. T. Zwaans, Ahmed El Shazly, Karel M. Van Praet, Roland Heck, Christoph T. Starck, Felix Schoenrath, Evgenij V. Potapov, Joerg Kempfert, Stephan Jacobs, and et al. 2024. "Mechanical Circulatory Support Strategies in Takotsubo Syndrome with Cardiogenic Shock: A Systematic Review" Journal of Clinical Medicine 13, no. 2: 473. https://doi.org/10.3390/jcm13020473
APA Stylevon Mackensen, J. K. R., Zwaans, V. I. T., El Shazly, A., Van Praet, K. M., Heck, R., Starck, C. T., Schoenrath, F., Potapov, E. V., Kempfert, J., Jacobs, S., Falk, V., & Wert, L. (2024). Mechanical Circulatory Support Strategies in Takotsubo Syndrome with Cardiogenic Shock: A Systematic Review. Journal of Clinical Medicine, 13(2), 473. https://doi.org/10.3390/jcm13020473