prikaz prve stranice dokumenta Takotsubo cardiomyopathy after the first electroconvulsive therapy regardless of adjuvant beta-blocker use: a case report and literature review
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Takotsubo cardiomyopathy after the first electroconvulsive therapy regardless of adjuvant beta-blocker use: a case report and literature review
Croatian Medical Journal, 59 (2018), 6; 307-312. https://doi.org/10.3325/cmj.2018.59.307
Medved, Sara; Ostojić, Zvonimir; Jurin, Hrvoje; Medved, Vesna

Institucijski repozitorij: Dr Med - digitalni repozitorij Medicinskog fakulteta Sveučilišta u Zagrebu

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Medved, S., Ostojić, Z., Jurin, H. i Medved, V. (2018). Takotsubo cardiomyopathy after the first electroconvulsive therapy regardless of adjuvant beta-blocker use: a case report and literature review. Croatian Medical Journal, 59. (6), 307-312. doi: 10.3325/cmj.2018.59.307

Medved, Sara, et al. "Takotsubo cardiomyopathy after the first electroconvulsive therapy regardless of adjuvant beta-blocker use: a case report and literature review." Croatian Medical Journal, vol. 59, br. 6, 2018, str. 307-312. https://doi.org/10.3325/cmj.2018.59.307

Medved, Sara, Zvonimir Ostojić, Hrvoje Jurin i Vesna Medved. "Takotsubo cardiomyopathy after the first electroconvulsive therapy regardless of adjuvant beta-blocker use: a case report and literature review." Croatian Medical Journal 59, br. 6 (2018): 307-312. https://doi.org/10.3325/cmj.2018.59.307

Medved, S., et al. (2018) 'Takotsubo cardiomyopathy after the first electroconvulsive therapy regardless of adjuvant beta-blocker use: a case report and literature review', Croatian Medical Journal, 59(6), str. 307-312. doi: 10.3325/cmj.2018.59.307

Medved S, Ostojić Z, Jurin H, Medved V. Takotsubo cardiomyopathy after the first electroconvulsive therapy regardless of adjuvant beta-blocker use: a case report and literature review. Croatian Medical Journal [Internet]. 31.12.2018. [pristupljeno 24.11.2024.];59(6):307-312. doi: 10.3325/cmj.2018.59.307

S. Medved, Z. Ostojić, H. Jurin i V. Medved, "Takotsubo cardiomyopathy after the first electroconvulsive therapy regardless of adjuvant beta-blocker use: a case report and literature review", Croatian Medical Journal, vol. 59, br. 6, str. 307-312, Prosinac 2018. [Online]. Dostupno na: https://urn.nsk.hr/urn:nbn:hr:105:636370. [Citirano: 24.11.2024.]

Za citiranje koristite ovu mrežnu adresu: https://urn.nsk.hr/urn:nbn:hr:105:636370
Podaci o radu
Naslov (engleski)Takotsubo cardiomyopathy after the first electroconvulsive therapy regardless of adjuvant beta-blocker use: a case report and literature review
AutorSara Medved
AutorZvonimir Ostojić
AutorHrvoje Jurin
AutorVesna Medved
Autorova ustanovaSveučilište u Zagrebu
Medicinski fakultet
Znanstveno / umjetničko
područje, polje i grana		BIOMEDICINA I ZDRAVSTVO
Kliničke medicinske znanosti
Sažetak (engleski)
Takotsubo cardiomyopathy (TC) is a rare complication of electroconvulsive therapy (ECT), an effective and safe treatment for severe cases of depression and psychosis. There are reports on 16 patients who developed TC after ECT, and these were predominantly female patients treated with antidepressants for depressive disorder. We describe a case of a 40-year-old male patient, with a history of schizophrenia and heavy caffeine and nicotine use, treated for acute psychotic episode with haloperidol and clozapine. Propranolol was administered because of clozapine-induced tachycardia. After 8 weeks without therapeutic response, the patient was referred for standard ECT procedure, which included premedication and bifrontotemporal stimulation. Two hours later, the patient experienced gastric pain and had increased troponin and natriuretic peptide levels and ST-elevation. After inotrope and anticoagulant treatment and replacement of antipsychotics, the patient remained stable. Contrary to common opinion, previous adrenergic blockade in this patient did not prevent TC occurrence. TC pathophysiology remains unclear although it has been related to the burst of norepinephrine neurons. Psychosis has also been associated with catecholamine dysfunction, and excessive psychological stress with long-term norepinephrine dysfunction. Animal models have shown that ECT, clozapine, and nicotine and caffeine use could considerably increase catecholamine levels. Clinical understanding of rare cardiac ECT complications could improve early recognition of patients at risk for TC and ensure safe ECT protocols.
Ključne riječi (engleski)
Jezikengleski
Vrsta publikacijeZnanstveni rad - Prikaz slučaja
Status objaveObjavljen
Vrsta recenzijeRecenziran
Verzija publikacijeObjavljena verzija rada (izdavačev PDF)
Naslov časopisaCroatian Medical Journal
Brojčani podacivol. 59, br. 6, str. 307-312
p-ISSN0353-9504
DOIhttps://doi.org/10.3325/cmj.2018.59.307
URN:NBNurn:nbn:hr:105:636370
Datum objave publikacije2018-12-31
URL dokumentahttp://doi.org/10.3325/cmj.2018.59.307
Vrsta resursaTekst
Prava pristupaOtvoreni pristup
Uvjeti korištenjaIkona licence Zaštićeno autorskim pravom.
Datum i vrijeme pohrane2024-03-28 09:49:40