Takotsubo Syndrome Development Immediately Following Hemodialysis Initiation.

• Tác giả: Asuka Fujikita, Tsuguru Hatta, Tomoharu Ida, Hiroshi Kado, Ryo Kurose, Kenji Matsumoto, Yu Mihara, Masashi Nakamura, Ayumi Ogata, Asuka Yamauchi
• Ngôn ngữ: eng
• Ký hiệu phân loại: 623.852 Electric lighting
• Thông tin xuất bản: Japan : Internal medicine (Tokyo, Japan) , 2025
• Bộ sưu tập: NCBI
• ID: 715141

Tóm tắt

We herein report a case of Takotsubo syndrome in an 80-year-old woman with end-stage renal disease who hesitated to initiate hemodialysis for pulmonary edema. On hospital day 2, the patient experienced cardiac arrest. Coronary angiography after spontaneous return of circulation showed no substantial stenosis. Takotsubo syndrome was diagnosed based on echocardiography findings. On hospital day 3, she developed ventricular fibrillation but was spontaneously resuscitated. Patients with chronic kidney disease and those who postpone dialysis initiation may be at an increased risk of developing Takotsubo syndrome. Early and careful monitoring and adequate shared decision-making are essential for seamless initiation of dialysis.