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Year : 2019  |  Volume : 29  |  Issue : 6  |  Page : 419-423

Takotsubo Syndrome during Haemodialysis

1 Department of Nephrology, General Hospital of Ioannina ‘G. Hatzikosta’, Ioannina, Greece
2 Department of Microbiology, General Hospital of Ioannina ‘G. Hatzikosta’, Ioannina, Greece
3 Department of Cardiology, General Hospital of Ioannina ‘G. Hatzikosta’, Ioannina, Greece

Correspondence Address:
Stavros Mantzoukis
1 Stratigou Makrigianni Street, Ioannina - 45445; Department of Nephrology, General Hospital of Ioannina “G. Hatzikosta”, Ioannina
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijn.IJN_267_18

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Takotsubo syndrome (TS) is typically characterized by transient (reversible) systolic dysfunction of the apical and mid segments of the left ventricle (LV), usually without obstruction of coronary arteries, in postmenopausal women after a stressful event. Usually, patients may experience symptoms such as chest pain, shortness of breath, palpitations, and rarely syncope or cardiogenic shock. There are many theories about pathophysiology of TS. Among these, most acceptable is the catecholamine theory. The prognosis is usually good with recovery of symptoms and imaging findings at most within a few weeks. However, complications may occur. We present the 11th published case of a patient on hemodialysis, who presented with TS and discuss why this situation may occur in patients on hemodialysis. Contrary to our patient, half of previously published cases presented with atypical symptoms. Therefore, it is important to be alert in order to timely diagnose, support the patient, and treat if any complications appear.


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Indian Journal of Nephrology
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Online since 20th Sept '07