Takotsubo Cardiomyopathy After Orthotopic Liver Transplantation: A Case Series

IF 0.8 4区医学 Q4 IMMUNOLOGY

Transplantation proceedings Pub Date : 2025-07-01 DOI:10.1016/j.transproceed.2025.05.020

Zhao Hong-Qiang , Guo Zhe , Tong Xuan, Li Shan, Wu Guang-Dong, Yu Li-Han, Li Ang, Hou Yu-Cheng, Tang Rui

引用次数: 0

Abstract

This study examines takotsubo cardiomyopathy (TTS) following liver transplantation (LT). Out of 739 LT patients from 2018 to 2024, 76 developed cardiac dysfunction, with 6 cases of TTS, all male. TTS incidence post-LT was 0.8%, with alcoholic cirrhosis as the main diagnosis. TTS occurred a median of 2 days post-LT, highlighting early complications. High catecholamine levels were noted in 1 case. The study stresses the need for differential diagnosis of TTS in post-LT cardiac dysfunction, especially in alcohol abuse patients, with aggressive treatment including IABP, volume management, and anticoagulation. Echocardiographic assessment post-LT is crucial for TTS detection and management.

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原位肝移植后Takotsubo心肌病：一个病例系列。

本研究探讨肝移植（LT）后的takotsubo心肌病（TTS）。2018 - 2024年739例LT患者中，76例发生心功能障碍，其中TTS 6例，均为男性。肝移植后TTS发生率为0.8%，主要诊断为酒精性肝硬化。TTS发生的中位时间为lt后2天，突出了早期并发症。1例患者儿茶酚胺水平高。该研究强调了lt后心功能障碍中TTS的鉴别诊断的必要性，特别是酒精滥用患者，需要积极的治疗，包括IABP、容量管理和抗凝。lt后超声心动图评估对TTS的检测和治疗至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Transplantation proceedings 医学-免疫学

CiteScore

1.70

自引率

0.00%

发文量

502

审稿时长

60 days

期刊介绍： Transplantation Proceedings publishes several different categories of manuscripts, all of which undergo extensive peer review by recognized authorities in the field prior to their acceptance for publication. The first type of manuscripts consists of sets of papers providing an in-depth expression of the current state of the art in various rapidly developing components of world transplantation biology and medicine. These manuscripts emanate from congresses of the affiliated transplantation societies, from Symposia sponsored by the Societies, as well as special Conferences and Workshops covering related topics. Transplantation Proceedings also publishes several special sections including publication of Clinical Transplantation Proceedings, being rapid original contributions of preclinical and clinical experiences. These manuscripts undergo review by members of the Editorial Board. Original basic or clinical science articles, clinical trials and case studies can be submitted to the journal?s open access companion title Transplantation Reports.