TY - JOUR
T1 - Can quantitative regional myocardial dynamics contribute to the differential diagnosis of acute stress cardiomyopathy?
AU - Yalçin, Fatih
AU - Küçükler, Nagehan
AU - Abraham, Theodore P.
AU - Garcia, Mario J.
PY - 2012/2
Y1 - 2012/2
N2 - Acute stress-induced cardiomyopathy has excessive sympathetic stimulation, microvascular dysfunction similar to hypertension. Regional prominence of left ventricular (LV) septal base and stress-induced LV hypercontractility are the particular features of both acute and chronic stress-related conditions. Novel imaging methods have shown that stress-induced cavity dilation and myocardial wall abnormalities can be a reflection of underlying previous exaggerated hypertensive episodes due to sympathetic overdrive, which results in microvascular dysfunction. Hypertension-mediated chronic stress due to increased after load episodes is possibly the main reason for blunted LV myocardial wall motion capability in patients with stress-related exaggerated hypertension. In this short report, we discussed the interrelation of myocardial dynamics and stress-induced exaggerated hypertension episodes. In addition, quantitative echocardiographic methods which previously were used for description of particular features including LV regional dynamics in hypertensive heart disease can be an option in differential diagnosis of potential cases of acute stress-induced cardiomyopathy.
AB - Acute stress-induced cardiomyopathy has excessive sympathetic stimulation, microvascular dysfunction similar to hypertension. Regional prominence of left ventricular (LV) septal base and stress-induced LV hypercontractility are the particular features of both acute and chronic stress-related conditions. Novel imaging methods have shown that stress-induced cavity dilation and myocardial wall abnormalities can be a reflection of underlying previous exaggerated hypertensive episodes due to sympathetic overdrive, which results in microvascular dysfunction. Hypertension-mediated chronic stress due to increased after load episodes is possibly the main reason for blunted LV myocardial wall motion capability in patients with stress-related exaggerated hypertension. In this short report, we discussed the interrelation of myocardial dynamics and stress-induced exaggerated hypertension episodes. In addition, quantitative echocardiographic methods which previously were used for description of particular features including LV regional dynamics in hypertensive heart disease can be an option in differential diagnosis of potential cases of acute stress-induced cardiomyopathy.
KW - Acute stress-induced cardiomyopathy
KW - Hypertension
KW - Left ventricular hypertrophy
KW - Tissue Doppler imaging
UR - http://www.scopus.com/inward/record.url?scp=84856255710&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84856255710&partnerID=8YFLogxK
U2 - 10.5152/akd.2012.015
DO - 10.5152/akd.2012.015
M3 - Review article
C2 - 22231937
AN - SCOPUS:84856255710
SN - 1302-8723
VL - 12
SP - 71
EP - 74
JO - Anadolu Kardiyoloji Dergisi
JF - Anadolu Kardiyoloji Dergisi
IS - 1
ER -