Stress-induced cardiomyopathy (takotsubo syndrome) complicated by cardiogenic shock in a pregnancy with cesarean delivery
Voropaeva E.E., Cherepenin S.M., Sprikut A.A., Ishchenko L.S., Khaydukova Yu.V., Kazachkova E.A., Kazachkov E.L., Ishchenko Yu.S.
Relevance: Stress-induced cardiomyopathy (takotsubo syndrome) is a rare type of nonischemic cardiomyopathy characterized by acute onset and relatively rapid reversal development of left ventricular systolic dysfunction without atherosclerotic lesions of the coronary arteries. Early complications of this pathology include cardiac arrest, tachy- and bradyarrhythmia, acute heart failure, shock, apex thrombosis, stroke, rupture of the interventricular septum and free wall of the left ventricle. The mortality rate of patients with stress-induced cardiomyopathy (takotsubo syndrome) is as high as 5.6%.
Case report: The article presents a rare case of stress-induced cardiomyopathy (takotsubo syndrome) complicated by acute cardiac insufficiency and cardiogenic pulmonary edema, which developed during planned abdominal surgical delivery in a patient with preterm pregnancy; the situation required the participation of multidisciplinary specialists in emergency care (obstetrician-gynecologists, anesthetists, cardiologists, neonatologists, trained nursing staff), that contributed to the successful outcome of the presented case.
Conclusion: It is necessary to remember about the risk of stress-induced myocardial damage in patients of any profile, including pregnant women, especially if the patient has increased anxiety about the upcoming surgical intervention.
Authors’ contributions: Voropaeva E.E., Cherepenin S.M., Sprikut A.A., Khaydukova Yu.V. – collecting and processing the material; Voropaeva E.E., Ishchenko L.S. – analysis of the obtained data, writing the article; Kazachkov E.L., Ishchenko Yu.S. – review of publications on the topic of the article; Kazachkova E.A. – editing the article.
Conflicts of interest: The authors declare no possible conflicts of interest.
Funding: The study was conducted without sponsorship.
Patient Consent for Publication: The patient signed an informed consent to provide information about herself for scientific purposes and to publish her data.
For citation: Voropaeva E.E., Cherepenin S.M., Sprikut A.A., Ishchenko L.S., Khaydukova Yu.V., Kazachkova E.A., Kazachkov E.L., Ishchenko Yu.S. Stress-induced cardiomyopathy (takotsubo syndrome) complicated
by cardiogenic shock in a pregnancy with cesarean delivery.
Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2024; (6): 162-169 (in Russian)
https://dx.doi.org/10.18565/aig.2024.45
Keywords
pregnancy
stress-induced cardiomyopathy
takotsubo syndrome
cardiogenic shock
cesarean section
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Received 04.03.2024
Accepted 31.05.2024
About the Authors
Ekaterina E. Voropaeva, Dr. Med. Sci., Professor, Professor of the Department of Pathological Anatomy and Forensic Medicine, South Ural State Medical University,Ministry of Health of Russia, 64 Vorovsky str., Chelyabinsk, 454000, Russia; Deputy Chief Physician for Obstetrics and Gynecology, Regional Clinical Hospital No. 2, +7(351)217-70-42, katya_voropaeva@mail.ru, https://orcid.org/0000-0002-9405-0134
Sergey M. Cherepenin, Head of the 1st Cardiology Department, Regional Clinical Hospital, 70 Vorovsky str., Chelyabinsk, 454000, Russia, +7(952)516-67-13,
doctorche74@mail.ru
Anna A. Sprikut, PhD, Teaching Assistant of the Department of Medical Rehabilitation and Sports Medicine, South Ural State Medical University, Ministry of Health of Russia, 64 Vorovsky str., Chelyabinsk, 454000, Russia; Head of the Department of Medical Rehabilitation, City Clinical Hospital No. 2, +7(951)771-75-04, akeys@mail.ru,
https://orcid.org/0000-0003-0875-4205
Lyudmila S. Ishchenko, PhD, Associate Professor, Associate Professor at the Department of Obstetrics and Gynecology, South Ural State Medical University,
Ministry of Health of Russia, 64 Vorovsky str., Chelyabinsk, 454000, Russia, +7(919)352- 91-14, lyudalyn@mail.ru, https://orcid.org/0000-0002-9405-0134
Yulia V. Khaydukova, Postgraduate at the Department of Obstetrics and Gynecology, South Ural State Medical University, Ministry of Health of Russia; Head of the
2nd Obstetric Department, Regional Clinical Hospital No. 2, 18 Gagarina str., Chelyabinsk, 454000, Russia, +7(351)217-70-42, jumi.06@mail.ru,
https://orcid.org/0000-0001-8751-7149
Ella A. Kazachkova, Dr. Med. Sci., Professor, Professor at the Department of Obstetrics and Gynecology, South Ural State Medical University, Ministry of Health of Russia,
64 Vorovsky str., Chelyabinsk, 454000, Russia, +7(912)478-62-90, doctorkel@narod.ru, https://orcid.org/0000-0002-1672-7058
Evgeny L. Kazachkov, Dr. Med. Sci., Professor, Head of the Department of Pathological Anatomy and Forensic Medicine, South Ural State Medical University,
Ministry of Health of Russia, 64 Vorovsky str., Chelyabinsk, 454000, Russia, +7(351)232-01-45, doctorkel@narod.ru, https://orcid.org/0000-0002-4512-3421
Yulia S. Ishchenko, 4rd year student, Faculty of Pediatrics, South Ural State Medical University, Ministry of Health of Russia, 64 Vorovsky str., 454000, Chelyabinsk, Russia, +7(902)614-20-45, ischenkous0407@mail.ru, https://orcid.org/0000-0003-1642-660
Corresponding author: Lyudmila S. Ishchenko, lyudalyn@mail.ru
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