Broken heart as work-related accident: Occupational stress as a cause of takotsubo cardiomyopathy in 55-year-old female teacher – Role of automated function imaging in diagnostic workflow

2.50
Hdl Handle:
http://hdl.handle.net/10146/570776
Title:
Broken heart as work-related accident: Occupational stress as a cause of takotsubo cardiomyopathy in 55-year-old female teacher – Role of automated function imaging in diagnostic workflow
Authors:
Mielczarek, Agnieszka; Kasprzak, Jarosław D.; Marcinkiewicz, Andrzej ( 0000-0001-9733-1890 ) ; Kurpesa, Małgorzata; Uznanska-Loch, Barbara; Wierzbowska-Drabik, Karina
Abstract:
Takotsubo cardiomiopathy (TTC) (known also as “ampulla cardiomyopathy,” “apical ballooning” or “broken heart syndrome”) is connected with a temporary systolic left ventricular dysfunction without the culprit coronary lesion. Takotsubo cardiomyopathy was first described in 1990 in Japan after octopus trapping pot with a round bottom and narrow neck similar in shape to left ventriculogram in TTC patients. The occurrence of TTC is usually precipitated by a stressful event with a clinical presentation mimicking myocardial infarction: chest pain, ST-T segment elevation or T-wave inversion, a rise in cardiac troponin, and contractility abnormalities in echocardiography. A left ventricular dysfunction is transient and improves within a few weeks. Takotsubo cardiomyopathy typically occurs in postmenopausal women and the postulated mechanism is catecholamine overstimulation. Moreover, the distribution of contractility impairments usually does not correspond with typical region supplied by a single coronary artery. Therefore, the assessment of regional pattern of systolic dysfunction with speckle-tracking echocardiography and automated function imaging (AFI) technique may be important in diagnosis of TTC and may improve our insight into its patophysiology. We described a 55-year-old female teacher with TTC diagnosed after acute psychological stress in workplace. The provoking factor related with occupational stress and pattern of contraction abnormalities documented with AFI technique including basal segments of left ventricle make this case atypical.
Affiliation:
Medical University of Lodz, Łódź, Poland; Nofer Institute of Occupational Medicine, Łódź, Poland;
Citation:
International Journal of Occupational Medicine and Environmental Health 2015;28(6):1031 – 1034
Journal:
International Journal of Occupational Medicine and Environmental Health
Issue Date:
2015
URI:
http://hdl.handle.net/10146/570776
DOI:
10.13075/ijomeh.1896.00564
Additional Links:
http://www.journalssystem.com/ijomeh/Broken-heart-as-work-related-accident-Occupational-stress-as-a-cause-of-takotsubo-cardiomyopathy-in-55-year-old-female-teacher-role-of-automated-function-imaging-in-diagnostic-workflow,58562,0,2.html; http://ijomeh.eu/Broken-heart-as-work-related-accident-Occupational-stress-as-a-cause-of-takotsubo-cardiomyopathy-in-55-year-old-female-teacher-Role-of-automated-function-imaging-nin-diagnostic-workflow,58562,0,2.html
Type:
Article
Language:
en_US
ISSN:
1232-1087
Appears in Collections:
Articles

Full metadata record

DC FieldValue Language
dc.contributor.authorMielczarek, Agnieszkaen
dc.contributor.authorKasprzak, Jarosław D.en
dc.contributor.authorMarcinkiewicz, Andrzejen
dc.contributor.authorKurpesa, Małgorzataen
dc.contributor.authorUznanska-Loch, Barbaraen
dc.contributor.authorWierzbowska-Drabik, Karinaen
dc.date.accessioned2015-08-17T11:15:25Zen
dc.date.available2015-08-17T11:15:25Zen
dc.date.issued2015en
dc.identifier.citationInternational Journal of Occupational Medicine and Environmental Health 2015;28(6):1031 – 1034en
dc.identifier.issn1232-1087en
dc.identifier.doi10.13075/ijomeh.1896.00564en
dc.identifier.urihttp://hdl.handle.net/10146/570776en
dc.description.abstractTakotsubo cardiomiopathy (TTC) (known also as “ampulla cardiomyopathy,” “apical ballooning” or “broken heart syndrome”) is connected with a temporary systolic left ventricular dysfunction without the culprit coronary lesion. Takotsubo cardiomyopathy was first described in 1990 in Japan after octopus trapping pot with a round bottom and narrow neck similar in shape to left ventriculogram in TTC patients. The occurrence of TTC is usually precipitated by a stressful event with a clinical presentation mimicking myocardial infarction: chest pain, ST-T segment elevation or T-wave inversion, a rise in cardiac troponin, and contractility abnormalities in echocardiography. A left ventricular dysfunction is transient and improves within a few weeks. Takotsubo cardiomyopathy typically occurs in postmenopausal women and the postulated mechanism is catecholamine overstimulation. Moreover, the distribution of contractility impairments usually does not correspond with typical region supplied by a single coronary artery. Therefore, the assessment of regional pattern of systolic dysfunction with speckle-tracking echocardiography and automated function imaging (AFI) technique may be important in diagnosis of TTC and may improve our insight into its patophysiology. We described a 55-year-old female teacher with TTC diagnosed after acute psychological stress in workplace. The provoking factor related with occupational stress and pattern of contraction abnormalities documented with AFI technique including basal segments of left ventricle make this case atypical.en
dc.language.isoen_USen
dc.relation.urlhttp://www.journalssystem.com/ijomeh/Broken-heart-as-work-related-accident-Occupational-stress-as-a-cause-of-takotsubo-cardiomyopathy-in-55-year-old-female-teacher-role-of-automated-function-imaging-in-diagnostic-workflow,58562,0,2.htmlen
dc.relation.urlhttp://ijomeh.eu/Broken-heart-as-work-related-accident-Occupational-stress-as-a-cause-of-takotsubo-cardiomyopathy-in-55-year-old-female-teacher-Role-of-automated-function-imaging-nin-diagnostic-workflow,58562,0,2.htmlen
dc.rightsArchived with thanks to International Journal of Occupational Medicine and Environmental Healthen
dc.subjectOccupational stressen
dc.subjectTakotsubo cardiomyopathyen
dc.subjectBroken heart syndromeen
dc.subjectAccident at worken
dc.subjectAutomated function imagingen
dc.subjectSpeckle tracking echocardiographyen
dc.titleBroken heart as work-related accident: Occupational stress as a cause of takotsubo cardiomyopathy in 55-year-old female teacher – Role of automated function imaging in diagnostic workflowen_US
dc.typeArticleen
dc.contributor.departmentMedical University of Lodz, Łódź, Poland; Nofer Institute of Occupational Medicine, Łódź, Poland;en
dc.identifier.journalInternational Journal of Occupational Medicine and Environmental Healthen
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