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Personality in Patients With Takotsubo Cardiomyopathy

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Treder-Rochna N., Sabisz A., Siemiński M., Fijałkowski M.

Roczniki Psychologiczne

2020

vol. 23

issue 4

329-345

The last few years have seen an increase in the awareness of a specific heart disease referred to as takotsubo cardiomyopathy. The evidence from the literature demonstrates that psychological variables (especially personality traits) can have a significant impact on the manifestations of different heart diseases. Little is known, however, about the psychological characteristics of takotsubo patients. The primary purpose of this research was to extract the specific personality traits of patients with takotsubo syndrome. Our research covered 76 participants divided into three groups: the clinical group-patients with takotsubo cardiomyopathy (n = 30); Comparison Group 1-individuals with acute myocardial infarction group (n = 21); and Comparison Group 2-heart-healthy persons (n = 25). The study included psychological tests and an MRI examination. The psychological methods used in the research were the NEO Personality Inventory, the Type D Scale, and the assessment of the occurrence of stressful life events. Most takotsubo patients reported stressful life events before the occurrence of takotsubo symptoms. In our studies, it was not typical for takotsubo to be associated type D personality. Takotsubo patients have experienced negative emotions but do not suppress their emotions and participate socially without emotional inhibitions. Moreover, patients are open to experience, have average self-control, and tend to be dutiful and dependable. It is possible that these personality traits could facilitate the healing process.

Broken heart as work-related accident: Occupational stress as a cause of takotsubo cardiomyopathy in 55-year-old female teacher – Role of automated function imaging in diagnostic workflow

86%

Mielczarek A., Kasprzak J. D., Marcinkiewicz A., Kurpesa M., Uznańska-Loch B., Wierzbowska-Drabik K.

International Journal of Occupational Medicine and Environmental Health

2015

vol. 28

issue 6

1031-1034

Takotsubo cardiomiopathy (TTC) (known also as “ampulla cardiomyopathy,” “apical ballooning” or “broken heart syndrome”) is connected with a temporary systolic left ventricular dysfunction without the culprit coronary lesion. Takotsubo cardiomyopathy was first described in 1990 in Japan after octopus trapping pot with a round bottom and narrow neck similar in shape to left ventriculogram in TTC patients. The occurrence of TTC is usually precipitated by a stressful event with a clinical presentation mimicking myocardial infarction: chest pain, ST-T segment elevation or T-wave inversion, a rise in cardiac troponin, and contractility abnormalities in echocardiography. A left ventricular dysfunction is transient and improves within a few weeks. Takotsubo cardiomyopathy typically occurs in postmenopausal women and the postulated mechanism is catecholamine overstimulation. Moreover, the distribution of contractility impairments usually does not correspond with typical region supplied by a single coronary artery. Therefore, the assessment of regional pattern of systolic dysfunction with speckle-tracking echocardiography and automated function imaging (AFI) technique may be important in diagnosis of TTC and may improve our insight into its patophysiology. We described a 55-year-old female teacher with TTC diagnosed after acute psychological stress in workplace. The provoking factor related with occupational stress and pattern of contraction abnormalities documented with AFI technique including basal segments of left ventricle make this case atypical.

Takotsubo cardiomyopathy in the case of 72-year-old teacher after work-related psychological stress. Evolution of left ventricular longitudinal strain – Delayed but complete recovery in automated function imaging (AFI)

86%

Wierzbowska-Drabik K., Marcinkiewicz A., Hamala P., Trzos E., Lipiec P., Kurpesa M., Kręcki R., Plewka M., Kasprzak J. D.

International Journal of Occupational Medicine and Environmental Health

2017

vol. 30

issue 4

681-683

Takotsubo cardiomyopathy (TC) is related to a transient systolic dysfunction of left ventricle (LV), accompanied by clinical and electrocardiographic symptoms of myocardial ischemia in the absence of hemodynamically significant coronary artery disease. Takotsubo cardiomyopathy is usually provoked by a psychologically or/and physically stressful event which may be related to occupational activities. Although visually assessed evolution of LV function is well documented, the data concerning strain changes is sparse and various patterns of deformation abnormalities are suggested. We have described a 72-year-old woman with chest pain related to a lecture given at the meeting of the Senior University, fulfilling all the Mayo Clinic criteria of the TC. The longitudinal strain analysis with automated function imaging (AFI) documented severe impairment and stepwise recovery of regional and global LV contractility. The case described confirms that accurate diagnosis, treatment and documenting of functional improvement in takotsubo cardiomyopathy may enable the return to occupational activities even for elderly persons. Int J Occup Med Environ Health 2017;30(4):681–683

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2 International Journal of Occupational Medicine and Environmental Health

1 Roczniki Psychologiczne

2 Kasprzak J. D.

2 Kurpesa M.

2 Marcinkiewicz A.

2 Wierzbowska-Drabik K.

1 Fijałkowski M.

1 Hamala P.

1 Kręcki R.

1 Lipiec P.

1 Mielczarek A.

1 Plewka M.

1 Sabisz A.

1 Siemiński M.

1 Treder-Rochna N.

1 Trzos E.

1 Uznańska-Loch B.

1 2020

1 2017

1 2015

Search results

Personality in Patients With Takotsubo Cardiomyopathy

Broken heart as work-related accident: Occupational stress as a cause of takotsubo cardiomyopathy in 55-year-old female teacher – Role of automated function imaging in diagnostic workflow

Takotsubo cardiomyopathy in the case of 72-year-old teacher after work-related psychological stress. Evolution of left ventricular longitudinal strain – Delayed but complete recovery in automated function imaging (AFI)