Cardiac arrest due to ventricular fibrillation in a 23-year-old woman with broken heart syndrome
Broken heart syndrome, also known as takotsubo cardiomyopathy, is a syndrome characterized by a transient regional systolic dysfunction of the left ventricle associated to a psychological stress. We herein describe a case of a 23-year-old female habitual marijuana user who was resuscitated after car...
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Veröffentlicht in: | Cardiovascular pathology 2017-09, Vol.30, p.78-81 |
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creator | Del Buono, Marco Giuseppe O'Quinn, Michael P. Garcia, Paulo Gerszten, Enrique Roberts, Charlotte Moeller, F. Gerald Abbate, Antonio |
description | Broken heart syndrome, also known as takotsubo cardiomyopathy, is a syndrome characterized by a transient regional systolic dysfunction of the left ventricle associated to a psychological stress. We herein describe a case of a 23-year-old female habitual marijuana user who was resuscitated after cardiac arrest and then diagnosed with midventricular stress cardiomyopathy complicated by subendocardial hemorrhage. We discuss this unique pathological finding, the incidence of arrhythmias in this syndrome, and the possible relation with chronic cannabis and tobacco use. Unfortunately, the patient did not survive, but had she survived, the management of the patient for secondary prevention would have been challenging considering the risk of recurrence with this disease.
•The age of onset was unusual at 23 years, and it may be related to cannabis use, a newly identified risk factor.•The autopsy showed subendocardial hemorrhages, providing a further insight in this poorly understood disease.•Ventricular fibrillation was the presenting scenario, and this is quite unusual.•If patient had survived, the management of the patient for secondary prevention would have been challenging considering the risk of recurrence with this disease. |
doi_str_mv | 10.1016/j.carpath.2017.06.007 |
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•The age of onset was unusual at 23 years, and it may be related to cannabis use, a newly identified risk factor.•The autopsy showed subendocardial hemorrhages, providing a further insight in this poorly understood disease.•Ventricular fibrillation was the presenting scenario, and this is quite unusual.•If patient had survived, the management of the patient for secondary prevention would have been challenging considering the risk of recurrence with this disease.</description><identifier>ISSN: 1054-8807</identifier><identifier>EISSN: 1879-1336</identifier><identifier>DOI: 10.1016/j.carpath.2017.06.007</identifier><identifier>PMID: 28802178</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Autopsy ; Broken heart Syndrome ; Cardiac arrest ; Cardiac Imaging Techniques ; Echocardiography ; Electrocardiography ; Fatal Outcome ; Female ; Heart Arrest - etiology ; Humans ; Marijuana ; Marijuana Smoking - adverse effects ; Smoking - adverse effects ; Stress cardiomyopathy ; Stress, Psychological - complications ; Takotsubo ; Takotsubo Cardiomyopathy - complications ; Takotsubo Cardiomyopathy - diagnostic imaging ; Takotsubo Cardiomyopathy - pathology ; Ventricular Fibrillation - etiology ; Young Adult</subject><ispartof>Cardiovascular pathology, 2017-09, Vol.30, p.78-81</ispartof><rights>2017</rights><rights>Copyright © 2017. Published by Elsevier Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c365t-1059b8e42c15fe0e4b0a35f51665bf60313dacee1867741546b8cde3b1358ed53</citedby><cites>FETCH-LOGICAL-c365t-1059b8e42c15fe0e4b0a35f51665bf60313dacee1867741546b8cde3b1358ed53</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S1054880717301552$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28802178$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Del Buono, Marco Giuseppe</creatorcontrib><creatorcontrib>O'Quinn, Michael P.</creatorcontrib><creatorcontrib>Garcia, Paulo</creatorcontrib><creatorcontrib>Gerszten, Enrique</creatorcontrib><creatorcontrib>Roberts, Charlotte</creatorcontrib><creatorcontrib>Moeller, F. Gerald</creatorcontrib><creatorcontrib>Abbate, Antonio</creatorcontrib><title>Cardiac arrest due to ventricular fibrillation in a 23-year-old woman with broken heart syndrome</title><title>Cardiovascular pathology</title><addtitle>Cardiovasc Pathol</addtitle><description>Broken heart syndrome, also known as takotsubo cardiomyopathy, is a syndrome characterized by a transient regional systolic dysfunction of the left ventricle associated to a psychological stress. We herein describe a case of a 23-year-old female habitual marijuana user who was resuscitated after cardiac arrest and then diagnosed with midventricular stress cardiomyopathy complicated by subendocardial hemorrhage. We discuss this unique pathological finding, the incidence of arrhythmias in this syndrome, and the possible relation with chronic cannabis and tobacco use. Unfortunately, the patient did not survive, but had she survived, the management of the patient for secondary prevention would have been challenging considering the risk of recurrence with this disease.
•The age of onset was unusual at 23 years, and it may be related to cannabis use, a newly identified risk factor.•The autopsy showed subendocardial hemorrhages, providing a further insight in this poorly understood disease.•Ventricular fibrillation was the presenting scenario, and this is quite unusual.•If patient had survived, the management of the patient for secondary prevention would have been challenging considering the risk of recurrence with this disease.</description><subject>Autopsy</subject><subject>Broken heart Syndrome</subject><subject>Cardiac arrest</subject><subject>Cardiac Imaging Techniques</subject><subject>Echocardiography</subject><subject>Electrocardiography</subject><subject>Fatal Outcome</subject><subject>Female</subject><subject>Heart Arrest - etiology</subject><subject>Humans</subject><subject>Marijuana</subject><subject>Marijuana Smoking - adverse effects</subject><subject>Smoking - adverse effects</subject><subject>Stress cardiomyopathy</subject><subject>Stress, Psychological - complications</subject><subject>Takotsubo</subject><subject>Takotsubo Cardiomyopathy - complications</subject><subject>Takotsubo Cardiomyopathy - diagnostic imaging</subject><subject>Takotsubo Cardiomyopathy - pathology</subject><subject>Ventricular Fibrillation - etiology</subject><subject>Young Adult</subject><issn>1054-8807</issn><issn>1879-1336</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkE2P1DAMhqMVq_2CnwDKkUtL0nw0c0JoxMdKK3FZziFNXE2GthmcdFfz78lqBq6cbNmv_doPIW85aznj-sO-9Q4PruzajvG-ZbplrL8gN9z0m4YLoV_VnCnZGMP6a3Kb854xZqSUV-S6q8WO9-aG_Nw6DNF56hAhFxpWoCXRJ1gKRr9ODukYB4zT5EpMC40LdbQTzREcNmkK9DnNbqHPsezogOkXLHRXW4Xm4xIwzfCaXI5uyvDmHO_Ijy-fH7ffmofvX--3nx4aL7QqTT11MxiQnedqBAZyYE6oUXGt1TBqJrgIzgNwo_teciX1YHwAMXChDAQl7sj7094Dpt9rfcXOMXuody-Q1mz5pjOKG9l1VapOUo8pZ4TRHjDODo-WM_sC1-7tGa59gWuZthVunXt3tliHGcK_qb80q-DjSQD10acIaLOPsHgIEcEXG1L8j8Ufao6NyQ</recordid><startdate>201709</startdate><enddate>201709</enddate><creator>Del Buono, Marco Giuseppe</creator><creator>O'Quinn, Michael P.</creator><creator>Garcia, Paulo</creator><creator>Gerszten, Enrique</creator><creator>Roberts, Charlotte</creator><creator>Moeller, F. Gerald</creator><creator>Abbate, Antonio</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201709</creationdate><title>Cardiac arrest due to ventricular fibrillation in a 23-year-old woman with broken heart syndrome</title><author>Del Buono, Marco Giuseppe ; O'Quinn, Michael P. ; Garcia, Paulo ; Gerszten, Enrique ; Roberts, Charlotte ; Moeller, F. Gerald ; Abbate, Antonio</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c365t-1059b8e42c15fe0e4b0a35f51665bf60313dacee1867741546b8cde3b1358ed53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Autopsy</topic><topic>Broken heart Syndrome</topic><topic>Cardiac arrest</topic><topic>Cardiac Imaging Techniques</topic><topic>Echocardiography</topic><topic>Electrocardiography</topic><topic>Fatal Outcome</topic><topic>Female</topic><topic>Heart Arrest - etiology</topic><topic>Humans</topic><topic>Marijuana</topic><topic>Marijuana Smoking - adverse effects</topic><topic>Smoking - adverse effects</topic><topic>Stress cardiomyopathy</topic><topic>Stress, Psychological - complications</topic><topic>Takotsubo</topic><topic>Takotsubo Cardiomyopathy - complications</topic><topic>Takotsubo Cardiomyopathy - diagnostic imaging</topic><topic>Takotsubo Cardiomyopathy - pathology</topic><topic>Ventricular Fibrillation - etiology</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Del Buono, Marco Giuseppe</creatorcontrib><creatorcontrib>O'Quinn, Michael P.</creatorcontrib><creatorcontrib>Garcia, Paulo</creatorcontrib><creatorcontrib>Gerszten, Enrique</creatorcontrib><creatorcontrib>Roberts, Charlotte</creatorcontrib><creatorcontrib>Moeller, F. 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Gerald</au><au>Abbate, Antonio</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cardiac arrest due to ventricular fibrillation in a 23-year-old woman with broken heart syndrome</atitle><jtitle>Cardiovascular pathology</jtitle><addtitle>Cardiovasc Pathol</addtitle><date>2017-09</date><risdate>2017</risdate><volume>30</volume><spage>78</spage><epage>81</epage><pages>78-81</pages><issn>1054-8807</issn><eissn>1879-1336</eissn><abstract>Broken heart syndrome, also known as takotsubo cardiomyopathy, is a syndrome characterized by a transient regional systolic dysfunction of the left ventricle associated to a psychological stress. We herein describe a case of a 23-year-old female habitual marijuana user who was resuscitated after cardiac arrest and then diagnosed with midventricular stress cardiomyopathy complicated by subendocardial hemorrhage. We discuss this unique pathological finding, the incidence of arrhythmias in this syndrome, and the possible relation with chronic cannabis and tobacco use. Unfortunately, the patient did not survive, but had she survived, the management of the patient for secondary prevention would have been challenging considering the risk of recurrence with this disease.
•The age of onset was unusual at 23 years, and it may be related to cannabis use, a newly identified risk factor.•The autopsy showed subendocardial hemorrhages, providing a further insight in this poorly understood disease.•Ventricular fibrillation was the presenting scenario, and this is quite unusual.•If patient had survived, the management of the patient for secondary prevention would have been challenging considering the risk of recurrence with this disease.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>28802178</pmid><doi>10.1016/j.carpath.2017.06.007</doi><tpages>4</tpages></addata></record> |
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subjects | Autopsy Broken heart Syndrome Cardiac arrest Cardiac Imaging Techniques Echocardiography Electrocardiography Fatal Outcome Female Heart Arrest - etiology Humans Marijuana Marijuana Smoking - adverse effects Smoking - adverse effects Stress cardiomyopathy Stress, Psychological - complications Takotsubo Takotsubo Cardiomyopathy - complications Takotsubo Cardiomyopathy - diagnostic imaging Takotsubo Cardiomyopathy - pathology Ventricular Fibrillation - etiology Young Adult |
title | Cardiac arrest due to ventricular fibrillation in a 23-year-old woman with broken heart syndrome |
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