Takotsubo Syndrome Development Immediately Following Hemodialysis Initiation
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- Kurose Ryo
- Department of Nephrology, Omihachiman Community Medical Center, Japan
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- Mihara Yu
- Department of Nephrology, Omihachiman Community Medical Center, Japan
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- Fujikita Asuka
- Department of Nephrology, Omihachiman Community Medical Center, Japan
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- Matsumoto Kenji
- Department of Nephrology, Omihachiman Community Medical Center, Japan
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- Nakamura Masashi
- Department of Nephrology, Omihachiman Community Medical Center, Japan
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- Ogata Ayumi
- Department of Nephrology, Omihachiman Community Medical Center, Japan
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- Yamauchi Asuka
- Department of Nephrology, Omihachiman Community Medical Center, Japan
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- Ida Tomoharu
- Department of Nephrology, Omihachiman Community Medical Center, Japan
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- Kado Hiroshi
- Department of Nephrology, Omihachiman Community Medical Center, Japan
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- Hatta Tsuguru
- Department of Nephrology, Omihachiman Community Medical Center, Japan
説明
<p>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. </p>
収録刊行物
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- Internal Medicine
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Internal Medicine 64 (6), 851-856, 2025-03-15
一般社団法人 日本内科学会
