Takotsubo cardiomyopathy triggered by influenza B.
Identifieur interne : 000954 ( Main/Exploration ); précédent : 000953; suivant : 000955Takotsubo cardiomyopathy triggered by influenza B.
Auteurs : Waldemar Elikowski ; Małgorzata Małek-Elikowska ; Monika Lisiecka ; Zofia Trypu ; Iwona Mozer-LisewskaSource :
- Polski merkuriusz lekarski : organ Polskiego Towarzystwa Lekarskiego [ 1426-9686 ] ; 2018.
Descripteurs français
- KwdFr :
- Défaillance cardiaque (), Défaillance cardiaque (imagerie diagnostique), Défaillance cardiaque (étiologie), Femelle, Grippe humaine (), Humains, Sujet âgé de 80 ans ou plus, Syndrome de tako-tsubo (), Syndrome de tako-tsubo (imagerie diagnostique), Syndrome de tako-tsubo (étiologie), Virus influenza B, Échocardiographie.
- MESH :
- imagerie diagnostique : Défaillance cardiaque, Syndrome de tako-tsubo.
- étiologie : Défaillance cardiaque, Syndrome de tako-tsubo.
- Défaillance cardiaque, Femelle, Grippe humaine, Humains, Sujet âgé de 80 ans ou plus, Syndrome de tako-tsubo, Virus influenza B, Échocardiographie.
English descriptors
- KwdEn :
- Aged, 80 and over, Echocardiography, Female, Heart Failure (diagnostic imaging), Heart Failure (etiology), Heart Failure (therapy), Humans, Influenza B virus, Influenza, Human (complications), Influenza, Human (therapy), Takotsubo Cardiomyopathy (diagnostic imaging), Takotsubo Cardiomyopathy (etiology), Takotsubo Cardiomyopathy (therapy).
- MESH :
- complications : Influenza, Human.
- diagnostic imaging : Heart Failure, Takotsubo Cardiomyopathy.
- etiology : Heart Failure, Takotsubo Cardiomyopathy.
- therapy : Heart Failure, Influenza, Human, Takotsubo Cardiomyopathy.
- Aged, 80 and over, Echocardiography, Female, Humans, Influenza B virus.
Abstract
Influenza is associated with a high prevalence of cardiac complications, including myocarditis and exacerbation of ischemic heart disease or heart failure (HF). However, only four cases of stress-induced takotsubo cardiomyopathy (TC), all of them triggered by virus A influenza, have been reported so far. Another two TC cases after anti-influenza vaccination are also available in the literature. The authors describe a new case of TC, this time provoked by influenza B. An 89-year-old female with a history of hypertension and chronic obstructive pulmonary disease (COPD) was admitted due to a fever (39oC), muscle aches and cough. Pneumonia was excluded in chest X-ray while the test for influenza confirmed virus B infection, so she was given oseltamivir. On the second day of hospitalization, she developed severe HF. ECG showed new negative T waves in inferior and anterolateral leads coexisting with a moderate troponin I and marked brain natriuretic peptide release, while echocardiography revealed left ventricular (LV) apical ballooning with decreased ejection fraction (EF 24%) and global longitudinal strain (GLS -8.1%). Symptomatic treatment of HF was initiated. The symptoms of influenza resolved after 5 days. LV function began to improve after 4 days and became normal after 6 days (EF 58%, GLS -18.1%). Despite an advanced age and the coexisting disorders (COPD, mild cognitive impairment, possible neoplastic disease), the patient was discharged in stable clinical condition on day 10. The authors conclude that in the evaluation of cardiac complications of influenza, TC should be taken into account.
PubMed: 30240371
Affiliations:
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Le document en format XML
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<front><div type="abstract" xml:lang="en">Influenza is associated with a high prevalence of cardiac complications, including myocarditis and exacerbation of ischemic heart disease or heart failure (HF). However, only four cases of stress-induced takotsubo cardiomyopathy (TC), all of them triggered by virus A influenza, have been reported so far. Another two TC cases after anti-influenza vaccination are also available in the literature. The authors describe a new case of TC, this time provoked by influenza B. An 89-year-old female with a history of hypertension and chronic obstructive pulmonary disease (COPD) was admitted due to a fever (39oC), muscle aches and cough. Pneumonia was excluded in chest X-ray while the test for influenza confirmed virus B infection, so she was given oseltamivir. On the second day of hospitalization, she developed severe HF. ECG showed new negative T waves in inferior and anterolateral leads coexisting with a moderate troponin I and marked brain natriuretic peptide release, while echocardiography revealed left ventricular (LV) apical ballooning with decreased ejection fraction (EF 24%) and global longitudinal strain (GLS -8.1%). Symptomatic treatment of HF was initiated. The symptoms of influenza resolved after 5 days. LV function began to improve after 4 days and became normal after 6 days (EF 58%, GLS -18.1%). Despite an advanced age and the coexisting disorders (COPD, mild cognitive impairment, possible neoplastic disease), the patient was discharged in stable clinical condition on day 10. The authors conclude that in the evaluation of cardiac complications of influenza, TC should be taken into account.</div>
</front>
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<name sortKey="Lisiecka, Monika" sort="Lisiecka, Monika" uniqKey="Lisiecka M" first="Monika" last="Lisiecka">Monika Lisiecka</name>
<name sortKey="Malek Elikowska, Malgorzata" sort="Malek Elikowska, Malgorzata" uniqKey="Malek Elikowska M" first="Małgorzata" last="Małek-Elikowska">Małgorzata Małek-Elikowska</name>
<name sortKey="Mozer Lisewska, Iwona" sort="Mozer Lisewska, Iwona" uniqKey="Mozer Lisewska I" first="Iwona" last="Mozer-Lisewska">Iwona Mozer-Lisewska</name>
<name sortKey="Trypu, Zofia" sort="Trypu, Zofia" uniqKey="Trypu Z" first="Zofia" last="Trypu">Zofia Trypu</name>
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