Reversible posterior leukoencephalopathy syndrome (RPLS) and tako-tsubo cardiomyopathy (TTC)

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2009 (EN)
Reversible posterior leukoencephalopathy syndrome (RPLS) and tako-tsubo cardiomyopathy (TTC) (EN)

Παπανικολάου, Ιωάννης (EL)
Τσιραντωνάκη, Μαρία (EL)
Μανδήλα, Χριστίνα (EL)
Παπαγεωργίου, Δημήτρης Ε. (EL)
Κουκουλίτσιος, Γεώργιος (EL)

Καραμπίνης, Ανδρέας (EL)
Καρακήτσος, Δημήτριος (EL)
Σχολή Επαγγελμάτων Υγείας και Πρόνοιας. Τμήμα Νοσηλευτικής (EL)

We report a case of a female patient with acute renal failure due to polyarteritis nodosa. Her clinical course was initially complicated by an unusual form of hypertensive encephalopathy called reversible posterior leukoencephalopathy syndrome (RPLS). Soon afterwards she developed cardiogenic shock; she was intu-bated and admitted to our ICU. Echocardiography and pertinent laboratory data were suggestive of takotsubo cardiomyopathy (TTC), a rare form of stress-induced, reversible cardiac dysfunction. We hypothesized that TTC was pathophysiologically linked to RPLS, presumably through an overstimulation of the sympathetic nervous system. Both RPLS and TTC turned out to be totally reversible conditions, and intensive echocardio-graphic monitoring was of great importance in order to optimize the hemodynamic support in our patient. (EN)


Σύνδρομο αναστρέψιμης οπίσθιας λευκοεγκεφαλοπάθειας (EN)
Οξεία νεφρική ανεπάρκεια (EN)
Polyarteritis nodosa (EN)
Takotsubo cardiomyopathy (EN)
Reversible posterior leukoencephalopathy syndrome (EN)
Στρεσογόνος μυοκαρδιοπάθεια (EN)
Οζώδης πολυαρτηρίτιδα (EN)
Acute renal failure (EN)

ΤΕΙ Αθήνας (EL)
Technological Educational Institute of Athens (EN)

Hellenic Journal of Cardiology (EN)



Vardas, Panos E. (EN)
Stefanadis, Christodoulos I. (EN)

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