Takotsubo Cardiomyopathy in the Emergency Department: A FOCUS Heart Breaker

Clinical Practice and Cases in Emergency Medicine
Kristin MeighJoseph Minardi

Abstract

Takotsubo cardiomyopathy (TCM) is an important condition for the emergency physician to consider in patients with cardiovascular symptoms. A 70-year-old woman presented with chest pain and nausea following emotional trauma. She had an elevated troponin and a normal electrocardiogram with no history of previous cardiac disease. Point-of-care focused cardiac ultrasound (FOCUS) showed reduced left ventricular systolic function with mid to apical hypokinesis. Cardiac catheterization revealed clean coronary arteries and confirmed the suspected diagnosis of TCM. Few reports emphasize the importance of FOCUS in the diagnosis and management of TCM in the emergency department. We detail FOCUS findings that assisted with diagnosis of TCM and describe how this quick, noninvasive imaging modality can be used to assess and manage emergent conditions.

References

Jul 17, 2012·American Heart Journal·Abhishek DeshmukhJawahar L Mehta
Oct 17, 2013·European Heart Journal Cardiovascular Imaging·Eduardo BossoneRaimund Erbel
Mar 21, 2015·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Joseph MinardiErin Setzer
Sep 4, 2015·The New England Journal of Medicine·Christian TemplinThomas F Lüscher
Nov 26, 2016·The Journal of Emergency Medicine·Brooks M Walsh, Lauren A Tobias
Jan 25, 2017·The Journal of Emergency Medicine·Michael F Yip, Brooks M Walsh

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Citations

Jul 17, 2019·Case Reports in Emergency Medicine·Abagayle E RenkoPaul W Sokoloski

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Software Mentioned

FOCUS

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