"Primum nil nocere" förstahandsalternativ vid takotsubo-kardiomyopati. Vid allvarliga fall bör mekaniskt stöd som brygga till återhämtning prövas
Engelsk titel: "Primum nil nocere" first choice in Takotsubo cardiomyopathy. Mechanical support as a bridge to recovery should be tested in severe cases
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Författare:
Redfors, Björn
;
Shao, Yangzhen
;
Omerovic, Elmir
Email: bjorn.redfors@wlab.gu.se
Språk: Swe
Antal referenser: 22
Dokumenttyp:
Översikt
UI-nummer: 14097284
Sammanfattning
Takotsubo cardiomyopathy is a life-threatening condition characterised by acute onset of extensive left ventricular dysfunction that cannot be explained by one or more coronary artery occlusions. Despite an apparently increasing incidence world-wide, no evidence based treatment
recommendations exist in European or American guidelines. Because takotsubo is potentially self-healing, treatment of these patients should be based on the »primum nil nocere« principle rather than extrapolation of treatment algorithms developed for acute heart failure of different etiology.
Inotropic and vasoactive substances should be avoided in the acute phase. In severely decompensated patients mechanical assist devices should be considered.