Diagnosis and treatment strategies for cardiogenic shock in Takotsubo syndrome with a temporary left ventricular assist device-A single-center study - PubMed
14 hours ago
- #Cardiogenic shock
- #Takotsubo syndrome
- #Mechanical circulatory support
- Takotsubo syndrome (TTS) is a reversible form of acute heart failure with apical ballooning, potentially leading to cardiogenic shock (CS).
- Mechanical circulatory support (MCS), such as Impella or ECMO, can stabilize CS and unload the left ventricle, aiding recovery.
- A single-center study analyzed 9 TTS patients with MCS: 5 used Impella alone, 4 used Impella + ECMO.
- Left ventricular ejection fraction at admission ranged from 10% to 36%, with 4 patients achieving full recovery.
- Three patients died in-hospital, and one remains on long-term HeartMate 3 support.
- Impella therapy is beneficial for CS stabilization, with escalation to Impella + ECMO feasible for non-responsive cases.
- The study supports prior findings on the efficacy of MCS in TTS management.