Abstract

LEVIN, Ricardo; DEGRANGE², Marcela; JIMENEZ³, Andrés  and  PORCILE, Rafael. Intraaortic balloon pump and non-catecholamine inotropic drugs in the management of cardiogenic shock due toTakotsubo cardiomyopathy: A series of cases. Insuf. card. [online]. 2015, vol.10, n.4, pp.164-168. ISSN 1852-3862.

Introduction. Stress cardiomyopathy or Takotsubo's syndrome could be complicated with development of cardiogenic shock requiring inotropic support. In that situation the use of catecholamines drugs has been questioned, being proposed the utilization of intraaortic balloon pump and non-catecholamines inotropic drugs. Materials and methods. There were included patients with Takotsubo's cardiomyopathy and development of cardiogenic shock who were treated with intraaortic balloon pump and non-catecholamines inotropic drugs, in two university hospitals. Results. Between January 1 of 2010 and January 1 of 2014 there were admitted 6 female patients with an average age of 54 years, showing hemodynamic criteria of cardiogenic shock. All of them received an intraaortic balloon pump and were also treated with milrinone, in 3 cases, and levosimendan, the other 3 patients. The hemodynamic evolution was favorable presenting, as complications, an atrial fibrillation, in one case, and loosing pulse in the balloon`s limb in another case. Conclusions. In a series of patients with Takotsubo`s cardiomyopathy developing cardiogenic shock the treatment with intraaortic balloon pump and non-catecholamine inotropic drugs was effective and safe. Studies with an appropriate number of patients will determine the utility of this approach.

Keywords : Takotsubo's cardiomyopathy;; Intraaortic balloon pump; Inotropic;; Cardiogenic shock.

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