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Kursat" "apellidos" => "Fidanci" ] 2 => array:2 [ "nombre" => "Alparslan Fatih" "apellidos" => "Genc" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Pediatric Cardiology, Gulhane Military Medical Academy, Ankara, Turkey" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "Recuperação diastólica tardia e alteração psiquiátrica mais prevalente na miocardiopatia da Takotsubo" ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We read with great interest the paper by Menezes et al.<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">1</span></a> entitled “A rare case of concomitant stress (takotsubo) cardiomyopathy and acute myocardial infarction” published in the July 2015 issue of the <span class="elsevierStyleItalic">Journal</span>. They presented a rare adult case of concomitant stress cardiomyopathy and myocardial infarction. We congratulate the authors for their successful clinical management of the case. If we may, we have a few comments.</p><p id="par0010" class="elsevierStylePara elsevierViewall">Takotsubo cardiomyopathy (TC) or stress cardiomyopathy is characterized by transient left ventricular (LV) wall motion changes, which usually occur after a stressful event, with excellent long-term prognosis despite the fact that TC can very rarely result in fatal arrhythmias or ventricular rupture.<a class="elsevierStyleCrossRefs" href="#bib0030"><span class="elsevierStyleSup">1–5</span></a> The diagnosis of TC is currently established according to the Mayo Clinic diagnostic criteria, which consist of (1) typical wall-motion changes; (2) no obstruction or acute plaque rupture of a coronary artery; (3) new ECG changes or mild elevation of cardiac troponin; and (4) no evidence of myocarditis or pheochromocytoma.<a class="elsevierStyleCrossRefs" href="#bib0030"><span class="elsevierStyleSup">1,4</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">Ahtarovski et al.<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">5</span></a> described two stages of LV recovery in TC. The first stage involves rapid systolic recovery in 4–6 days with diastolic dysfunction. In the second stage there is delayed but complete diastolic recovery with almost normal LV systolic function. Although LV systolic dysfunction in TC is completely reversible by three months, diastolic impairment requiring treatment in symptomatic patients despite preserved ejection fraction may still be evident.<a class="elsevierStyleCrossRefs" href="#bib0045"><span class="elsevierStyleSup">4,5</span></a> Therefore, cardiologists should consider a possible discordance between echocardiographic recovery and the patient's symptoms. We think that it would have been helpful to present the patient's clinical symptoms and status of diastolic function during the clinical follow-up in this case report.</p><p id="par0020" class="elsevierStylePara elsevierViewall">Recently, Daniel et al.<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">4</span></a> have reported that psychiatric disorders were more prevalent in patients with TC and myocardial infarction with normal coronary arteries than in those with myocardial infarction with normal coronary arteries and no TC. Therefore, a patient with TC might be referred to a psychiatrist for evaluation of a possible psychiatric disorder regardless of a recent history of physical or emotional stress.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:5 [ 0 => array:3 [ "identificador" => "bib0030" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:3 [ "comentario" => "e1–3" "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "A rare case of concomitant stress (takotsubo) cardiomyopathy and acute myocardial infarction" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "M. Nobre Menezes" 1 => "D. Silva" 2 => "A.G. 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Agewall" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.amjcard.2015.06.011" "Revista" => array:6 [ "tituloSerie" => "Am J Cardiol" "fecha" => "2015" "volumen" => "116" "paginaInicial" => "838" "paginaFinal" => "844" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/26251000" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0050" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Takotsubo cardiomyopathy, a two-stage recovery of left ventricular systolic and diastolic function as determined by cardiac magnetic resonance imaging" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "K.A. Ahtarovski" 1 => "K.K. Iversen" 2 => "T.E. 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Year/Month | Html | Total | |
---|---|---|---|
2024 November | 5 | 3 | 8 |
2024 October | 29 | 29 | 58 |
2024 September | 34 | 22 | 56 |
2024 August | 28 | 27 | 55 |
2024 July | 27 | 35 | 62 |
2024 June | 17 | 11 | 28 |
2024 May | 23 | 22 | 45 |
2024 April | 22 | 24 | 46 |
2024 March | 22 | 27 | 49 |
2024 February | 21 | 38 | 59 |
2024 January | 25 | 44 | 69 |
2023 December | 17 | 26 | 43 |
2023 November | 23 | 16 | 39 |
2023 October | 15 | 14 | 29 |
2023 September | 23 | 20 | 43 |
2023 August | 25 | 14 | 39 |
2023 July | 13 | 6 | 19 |
2023 June | 12 | 14 | 26 |
2023 May | 28 | 20 | 48 |
2023 April | 13 | 5 | 18 |
2023 March | 24 | 15 | 39 |
2023 February | 19 | 19 | 38 |
2023 January | 14 | 9 | 23 |
2022 December | 24 | 18 | 42 |
2022 November | 19 | 23 | 42 |
2022 October | 17 | 10 | 27 |
2022 September | 24 | 17 | 41 |
2022 August | 24 | 29 | 53 |
2022 July | 23 | 26 | 49 |
2022 June | 15 | 17 | 32 |
2022 May | 25 | 34 | 59 |
2022 April | 19 | 19 | 38 |
2022 March | 15 | 30 | 45 |
2022 February | 21 | 23 | 44 |
2022 January | 17 | 17 | 34 |
2021 December | 10 | 26 | 36 |
2021 November | 27 | 41 | 68 |
2021 October | 22 | 33 | 55 |
2021 September | 14 | 27 | 41 |
2021 August | 26 | 28 | 54 |
2021 July | 19 | 34 | 53 |
2021 June | 15 | 10 | 25 |
2021 May | 24 | 37 | 61 |
2021 April | 21 | 37 | 58 |
2021 March | 54 | 19 | 73 |
2021 February | 34 | 22 | 56 |
2021 January | 22 | 14 | 36 |
2020 December | 36 | 5 | 41 |
2020 November | 19 | 16 | 35 |
2020 October | 11 | 14 | 25 |
2020 September | 33 | 10 | 43 |
2020 August | 18 | 11 | 29 |
2020 July | 27 | 6 | 33 |
2020 June | 28 | 9 | 37 |
2020 May | 30 | 6 | 36 |
2020 April | 31 | 8 | 39 |
2020 March | 20 | 10 | 30 |
2020 February | 23 | 30 | 53 |
2020 January | 26 | 6 | 32 |
2019 December | 17 | 5 | 22 |
2019 November | 21 | 7 | 28 |
2019 October | 31 | 8 | 39 |
2019 September | 10 | 9 | 19 |
2019 August | 25 | 10 | 35 |
2019 July | 22 | 11 | 33 |
2019 June | 18 | 8 | 26 |
2019 May | 28 | 7 | 35 |
2019 April | 21 | 15 | 36 |
2019 March | 19 | 8 | 27 |
2019 February | 30 | 11 | 41 |
2019 January | 20 | 7 | 27 |
2018 December | 28 | 12 | 40 |
2018 November | 39 | 11 | 50 |
2018 October | 48 | 10 | 58 |
2018 September | 39 | 10 | 49 |
2018 August | 21 | 4 | 25 |
2018 July | 23 | 7 | 30 |
2018 June | 22 | 4 | 26 |
2018 May | 24 | 3 | 27 |
2018 April | 24 | 5 | 29 |
2018 March | 22 | 8 | 30 |
2018 February | 14 | 8 | 22 |
2018 January | 21 | 9 | 30 |
2017 December | 27 | 6 | 33 |
2017 November | 18 | 11 | 29 |
2017 October | 17 | 10 | 27 |
2017 September | 22 | 4 | 26 |
2017 August | 16 | 10 | 26 |
2017 July | 17 | 12 | 29 |
2017 June | 23 | 5 | 28 |
2017 May | 30 | 10 | 40 |
2017 April | 52 | 2 | 54 |
2017 March | 27 | 38 | 65 |
2017 February | 22 | 3 | 25 |
2017 January | 17 | 6 | 23 |
2016 December | 26 | 4 | 30 |
2016 November | 25 | 3 | 28 |
2016 October | 19 | 6 | 25 |
2016 September | 24 | 7 | 31 |
2016 August | 6 | 1 | 7 |
2016 July | 31 | 21 | 52 |
2016 June | 9 | 4 | 13 |