Abstract
Takotsubo cardiomyopathy (TCM) is a relatively new concept in cardiovascular disease. The clinical symptoms of TCM are similar to those of a myocardial infarction, but both the mechanism and the management of TCM are different from those of myocardial infarction. The cause of TCM is unclear, but it is suggested to occur in conjunction with excessive circulating catecholamines due to stress. Thus, control of the stress reaction and restriction of catecholamine levels are considered important for prevent of TCM onset. We report the dental management of a patient with intellectual disability who had anamnesis of TCM and cardiopulmonary arrest under restraint during a previous dental appointment in another dental clinic. We used intravenous sedation with both midazolam and propofol, by which the excessive hormonal reaction that caused TCM onset and cardiopulmonary arrest was controlled, for dental treatment in our facility. All planned dental treatment was then performed without any problems.
| Original language | English |
|---|---|
| Journal | Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics |
| Volume | 103 |
| Issue number | 3 |
| DOIs | |
| Publication status | Published - Mar 2007 |
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ASJC Scopus subject areas
- Dentistry(all)
- Pathology and Forensic Medicine
- Radiology Nuclear Medicine and imaging
- Surgery
Cite this
Dental management of a patient with takotsubo cardiomyopathy : a case report. / Higuchi, Hitoshi; Maeda, Shigeru; Miyawaki, Takuya; Kohjitani, Atsushi; Mori, Takayuki; Ishida, Ryo; Egusa, Masahiko; Shimada, Masahiko.
In: Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics, Vol. 103, No. 3, 03.2007.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Dental management of a patient with takotsubo cardiomyopathy
T2 - a case report
AU - Higuchi, Hitoshi
AU - Maeda, Shigeru
AU - Miyawaki, Takuya
AU - Kohjitani, Atsushi
AU - Mori, Takayuki
AU - Ishida, Ryo
AU - Egusa, Masahiko
AU - Shimada, Masahiko
PY - 2007/3
Y1 - 2007/3
N2 - Takotsubo cardiomyopathy (TCM) is a relatively new concept in cardiovascular disease. The clinical symptoms of TCM are similar to those of a myocardial infarction, but both the mechanism and the management of TCM are different from those of myocardial infarction. The cause of TCM is unclear, but it is suggested to occur in conjunction with excessive circulating catecholamines due to stress. Thus, control of the stress reaction and restriction of catecholamine levels are considered important for prevent of TCM onset. We report the dental management of a patient with intellectual disability who had anamnesis of TCM and cardiopulmonary arrest under restraint during a previous dental appointment in another dental clinic. We used intravenous sedation with both midazolam and propofol, by which the excessive hormonal reaction that caused TCM onset and cardiopulmonary arrest was controlled, for dental treatment in our facility. All planned dental treatment was then performed without any problems.
AB - Takotsubo cardiomyopathy (TCM) is a relatively new concept in cardiovascular disease. The clinical symptoms of TCM are similar to those of a myocardial infarction, but both the mechanism and the management of TCM are different from those of myocardial infarction. The cause of TCM is unclear, but it is suggested to occur in conjunction with excessive circulating catecholamines due to stress. Thus, control of the stress reaction and restriction of catecholamine levels are considered important for prevent of TCM onset. We report the dental management of a patient with intellectual disability who had anamnesis of TCM and cardiopulmonary arrest under restraint during a previous dental appointment in another dental clinic. We used intravenous sedation with both midazolam and propofol, by which the excessive hormonal reaction that caused TCM onset and cardiopulmonary arrest was controlled, for dental treatment in our facility. All planned dental treatment was then performed without any problems.
UR - http://www.scopus.com/inward/record.url?scp=33847170230&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=33847170230&partnerID=8YFLogxK
U2 - 10.1016/j.tripleo.2006.09.015
DO - 10.1016/j.tripleo.2006.09.015
M3 - Article
C2 - 17188530
AN - SCOPUS:33847170230
VL - 103
JO - Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology
JF - Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology
SN - 2212-4403
IS - 3
ER -