Epilepsia e cardiomiopatia de Takotsubo: uma revisão de escopo
DOI:
https://doi.org/10.34024/rnc.2023.v31.14720Palavras-chave:
Epilepsia, cardiomiopatia de Takotsubo, morte súbitaResumo
Introdução. A incidência de morte súbita é alta em pessoas com epilepsia crônica, principalmente na presença de comorbidades cardiovasculares, desse modo, há uma convergência entre epilepsia e doenças cardiovasculares, porém a literatura carece de revisões sistemáticas acerca da interface entre epilepsia e cardiomiopatia de Takotsubo. Objetivo. Verificar a associação entre cardiomiopatia de Takotsubo e distúrbios neurológicos, especialmente epilepsia. Método. Trata-se de uma revisão de escopo, com base na lista de verificação PRISMA. Foi realizada uma busca avançada e de alta sensibilidade utilizando os descritores "epilepsy" e "Takotsubo cardiomyopathy" combinados com o operador booleano AND, nas bases de dados PubMED, Scientific Electronic Library Online, Portal Regional Biblioteca in Health e Periódicos CAPES. Resultados. Foram identificados 373 artigos e após a aplicação dos critérios de elegibilidade, foram selecionados 14 trabalhos para compor a amostra bibliográfica deste estudo. Demonstra-se a relação de pessoas com epilepsia desenvolvendo cardiomiopatia de Takotsubo, principalmente mulheres com idade avançada, com comorbidades como hipertensão arterial, diabetes mellitus e hipercolesterolemia, podendo as alterações serem evidenciadas por meio de eletrocardiograma e ecocardiograma transtorácico. Conclusão. A depressão do segmento ST na parede anterior e a inversão da onda T no eletrocardiograma podem sugerir cardiomiopatia de Takotsubo em pessoas com epilepsia, e esse monitoramento é importante devido ao potencial de convulsões levarem a problemas cardíacos. A ecocardiografia transtorácica é útil para identificar eventos adversos em pessoas com a comorbidade. O conhecimento sobre epidemiologia e os achados complementares descritos podem facilitar o raciocínio clínico para o diagnóstico e manejo da condição.
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Copyright (c) 2023 Gabriela Garcia de Carvalho Laguna, Yago Soares Fonseca, Adryane Gomes Mascarenhas, Diego Bastos Ribeiro, Michele Cristina Maia, Karen Kessy de Souto Paulo, Grasiely Faccin Borges, Davi Tanajura Costa
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
Aceito: 2023-04-05
Publicado: 2023-04-19
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