Letter to the Editor
Delayed diastolic recovery and more prevalent psychiatric disorders in Takotsubo cardiomyopathy
Recuperação diastólica tardia e alteração psiquiátrica mais prevalente na miocardiopatia da Takotsubo
Mustafa Gulgun
, Muzaffer Kursat Fidanci, Alparslan Fatih Genc
Autor para correspondência
Pediatric Cardiology, Gulhane Military Medical Academy, Ankara, Turkey
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"https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0870255116300671?idApp=UINPBA00004E" "url" => "/08702551/0000003500000006/v1_201606140033/S0870255116300671/v1_201606140033/en/main.assets" ] ] "en" => array:12 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>" "titulo" => "Delayed diastolic recovery and more prevalent psychiatric disorders in Takotsubo cardiomyopathy" "tieneTextoCompleto" => true "saludo" => "To the Editor," "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "385" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Mustafa Gulgun, Muzaffer Kursat Fidanci, Alparslan Fatih Genc" "autores" => array:3 [ 0 => array:4 [ "nombre" => "Mustafa" "apellidos" => "Gulgun" "email" => array:1 [ 0 => "mustafagulgun@yahoo.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "Muzaffer 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:2 [ "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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| Ano/Mês | Html | Total | |
|---|---|---|---|
| 2024 Novembro | 7 | 4 | 11 |
| 2024 Outubro | 40 | 18 | 58 |
| 2024 Setembro | 39 | 24 | 63 |
| 2024 Agosto | 44 | 23 | 67 |
| 2024 Julho | 32 | 29 | 61 |
| 2024 Junho | 23 | 27 | 50 |
| 2024 Maio | 55 | 25 | 80 |
| 2024 Abril | 46 | 26 | 72 |
| 2024 Maro | 26 | 21 | 47 |
| 2024 Fevereiro | 37 | 21 | 58 |
| 2024 Janeiro | 28 | 24 | 52 |
| 2023 Dezembro | 44 | 21 | 65 |
| 2023 Novembro | 29 | 21 | 50 |
| 2023 Outubro | 18 | 13 | 31 |
| 2023 Setembro | 24 | 24 | 48 |
| 2023 Agosto | 27 | 17 | 44 |
| 2023 Julho | 27 | 6 | 33 |
| 2023 Junho | 25 | 10 | 35 |
| 2023 Maio | 39 | 19 | 58 |
| 2023 Abril | 12 | 6 | 18 |
| 2023 Maro | 17 | 21 | 38 |
| 2023 Fevereiro | 20 | 21 | 41 |
| 2023 Janeiro | 10 | 11 | 21 |
| 2022 Dezembro | 21 | 21 | 42 |
| 2022 Novembro | 34 | 20 | 54 |
| 2022 Outubro | 23 | 19 | 42 |
| 2022 Setembro | 23 | 34 | 57 |
| 2022 Agosto | 32 | 37 | 69 |
| 2022 Julho | 27 | 27 | 54 |
| 2022 Junho | 17 | 26 | 43 |
| 2022 Maio | 27 | 37 | 64 |
| 2022 Abril | 23 | 18 | 41 |
| 2022 Maro | 27 | 23 | 50 |
| 2022 Fevereiro | 24 | 27 | 51 |
| 2022 Janeiro | 28 | 21 | 49 |
| 2021 Dezembro | 16 | 29 | 45 |
| 2021 Novembro | 33 | 34 | 67 |
| 2021 Outubro | 26 | 37 | 63 |
| 2021 Setembro | 17 | 28 | 45 |
| 2021 Agosto | 35 | 33 | 68 |
| 2021 Julho | 22 | 25 | 47 |
| 2021 Junho | 24 | 23 | 47 |
| 2021 Maio | 30 | 35 | 65 |
| 2021 Abril | 55 | 17 | 72 |
| 2021 Maro | 58 | 25 | 83 |
| 2021 Fevereiro | 69 | 9 | 78 |
| 2021 Janeiro | 23 | 16 | 39 |
| 2020 Dezembro | 35 | 7 | 42 |
| 2020 Novembro | 26 | 18 | 44 |
| 2020 Outubro | 14 | 15 | 29 |
| 2020 Setembro | 47 | 17 | 64 |
| 2020 Agosto | 22 | 19 | 41 |
| 2020 Julho | 68 | 12 | 80 |
| 2020 Junho | 32 | 7 | 39 |
| 2020 Maio | 46 | 9 | 55 |
| 2020 Abril | 44 | 12 | 56 |
| 2020 Maro | 65 | 7 | 72 |
| 2020 Fevereiro | 134 | 22 | 156 |
| 2020 Janeiro | 59 | 10 | 69 |
| 2019 Dezembro | 43 | 7 | 50 |
| 2019 Novembro | 34 | 9 | 43 |
| 2019 Outubro | 18 | 7 | 25 |
| 2019 Setembro | 10 | 5 | 15 |
| 2019 Agosto | 30 | 8 | 38 |
| 2019 Julho | 39 | 7 | 46 |
| 2019 Junho | 21 | 8 | 29 |
| 2019 Maio | 35 | 6 | 41 |
| 2019 Abril | 18 | 15 | 33 |
| 2019 Maro | 27 | 11 | 38 |
| 2019 Fevereiro | 37 | 9 | 46 |
| 2019 Janeiro | 18 | 9 | 27 |
| 2018 Dezembro | 34 | 14 | 48 |
| 2018 Novembro | 59 | 9 | 68 |
| 2018 Outubro | 75 | 26 | 101 |
| 2018 Setembro | 34 | 9 | 43 |
| 2018 Agosto | 31 | 11 | 42 |
| 2018 Julho | 14 | 3 | 17 |
| 2018 Junho | 31 | 7 | 38 |
| 2018 Maio | 20 | 5 | 25 |
| 2018 Abril | 31 | 7 | 38 |
| 2018 Maro | 42 | 9 | 51 |
| 2018 Fevereiro | 18 | 7 | 25 |
| 2018 Janeiro | 16 | 7 | 23 |
| 2017 Dezembro | 34 | 8 | 42 |
| 2017 Novembro | 33 | 11 | 44 |
| 2017 Outubro | 18 | 9 | 27 |
| 2017 Setembro | 16 | 11 | 27 |
| 2017 Agosto | 24 | 13 | 37 |
| 2017 Julho | 18 | 6 | 24 |
| 2017 Junho | 35 | 8 | 43 |
| 2017 Maio | 31 | 10 | 41 |
| 2017 Abril | 15 | 1 | 16 |
| 2017 Maro | 16 | 3 | 19 |
| 2017 Fevereiro | 15 | 2 | 17 |
| 2017 Janeiro | 20 | 5 | 25 |
| 2016 Dezembro | 11 | 16 | 27 |
| 2016 Novembro | 13 | 14 | 27 |
| 2016 Outubro | 14 | 9 | 23 |
| 2016 Setembro | 11 | 8 | 19 |
| 2016 Agosto | 17 | 18 | 35 |
| 2016 Julho | 20 | 23 | 43 |
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