SciELO - Scientific Electronic Library Online

 
vol.81 número6Hemangioma cutáneo gigante en extremidad inferior fetal con diagnóstico ecográfico prenatal: reporte de un casoTabaquismo materno como un factor posiblemente implicado en el desarrollo de la obesidad infantil índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de revistas  

Servicios Personalizados

Revista

Articulo

Indicadores

Links relacionados

  • En proceso de indezaciónCitado por Google
  • No hay articulos similaresSimilares en SciELO
  • En proceso de indezaciónSimilares en Google

Compartir


Revista chilena de obstetricia y ginecología

versión On-line ISSN 0717-7526

Resumen

FRIAS SANCHEZ, Zoraida; PANTOJA GARRIDO, Manuel; GOMIZ RODRIGUEZ, Guillermo  y  PANTOJA ROSSO, Francisco Javier. Miocardiopatía Takotsubo postparto: parto distócico como posible factor desencadenante. Rev. chil. obstet. ginecol. [online]. 2016, vol.81, n.6, pp.520-525. ISSN 0717-7526.  http://dx.doi.org/10.4067/S0717-75262016000600012.

Takotsubo cardiomyopathy or stress cardiomyopathy is defined as an acute, transient, and reversible dysfunction of the apical segment of the left ventricle. It is usually associated with some sort of stressor, whether physical or emotional, and could be confused with an acute coronary syndrome. It is considered a rare disease, so it is important to include it in the differential diagnosis, previously suspecting the symptoms. It is characterized by alterations in the electrocardiogram such as ST segment elevation and inversion of the T wave in precordial leads, elevation of myocardial necrosis enzymes, or altered patterns on echocardiography such as apical ventricular dysfunction with hyperkinesia of basal areas. Regarding the pathophysiology, it seems that sympathetic stimulation plays an important role, in which ventricular dysfunction is triggered by some kind of physical or emotional stress. This causes a release of catecholamines with cardiotoxic effects due, mostly, to the effect of cyclic AMP. Treatment involves cardiomyopathy supportive care, avoiding teratogenic or harmful drugs during lactation. The evolution is favorable in most cases and the clinical picture abates completely, so the prognosis is generally considered good. In this paper, we expose a case of an instrumental labor in which a clinical picture compatible with Takotsubo cardiomyopathy is presented, triggered by an invasive procedure.

Palabras clave : Myocardiopathies; Takotsubo cardiomyopathy; apical ballooning syndrome; stress cardiomyopathy.

        · resumen en Español     · texto en Español     · Español ( pdf )

 

Creative Commons License Todo el contenido de esta revista, excepto dónde está identificado, está bajo una Licencia Creative Commons