The Takotsubo Syndrome: Clinical Diagnosis Using POCUS

Takotsubo syndrome is a cardiomyopathy that can mimic an acute heart attack, in terms of clinical presentation, electrocardiographic changes, and findings on echocardiogram. Point-of-care-ultrasound (POCUS) can be used to detect this condition, even though the definitive diagnosis is made angiograp...

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Main Authors: Josu López Libano, Lorenzo Alomar Lladó, Leire Zarraga López
Format: Article
Language:English
Published: CINQUILL Medical Publishers Inc. 2022-04-01
Series:POCUS Journal
Subjects:
Online Access:https://ojs.library.queensu.ca/index.php/pocus/article/view/15296
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author Josu López Libano
Lorenzo Alomar Lladó
Leire Zarraga López
author_facet Josu López Libano
Lorenzo Alomar Lladó
Leire Zarraga López
author_sort Josu López Libano
collection DOAJ
description Takotsubo syndrome is a cardiomyopathy that can mimic an acute heart attack, in terms of clinical presentation, electrocardiographic changes, and findings on echocardiogram. Point-of-care-ultrasound (POCUS) can be used to detect this condition, even though the definitive diagnosis is made angiographically. We present the case of an 84-year-old woman with a subacute coronary syndrome and high levels of myocardial ischemia markers. The POCUS performed on admission showed characteristic left ventricular dysfunction involving the apex but sparing the base. The coronary angiography ruled out significant arteriosclerotic in the coronary arteries. The wall motion abnormalities were partially corrected in the 48 hours after admission. POCUS might be a useful tool to establish an early diagnosis of Takotsubo syndrome at time of admission.
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spelling doaj.art-42830d8077b948f5aaebdd9d935364642022-12-22T04:02:34ZengCINQUILL Medical Publishers Inc.POCUS Journal2369-85432022-04-017110.24908/pocus.v7i1.15296The Takotsubo Syndrome: Clinical Diagnosis Using POCUS Josu López Libano0Lorenzo Alomar Lladó1Leire Zarraga López2medical practicionerIntensive Care Unit, Juaneda Miramar Hospital, Palma de Mallorca, Spain. University of the Basque Country, UPV/EHU Takotsubo syndrome is a cardiomyopathy that can mimic an acute heart attack, in terms of clinical presentation, electrocardiographic changes, and findings on echocardiogram. Point-of-care-ultrasound (POCUS) can be used to detect this condition, even though the definitive diagnosis is made angiographically. We present the case of an 84-year-old woman with a subacute coronary syndrome and high levels of myocardial ischemia markers. The POCUS performed on admission showed characteristic left ventricular dysfunction involving the apex but sparing the base. The coronary angiography ruled out significant arteriosclerotic in the coronary arteries. The wall motion abnormalities were partially corrected in the 48 hours after admission. POCUS might be a useful tool to establish an early diagnosis of Takotsubo syndrome at time of admission. https://ojs.library.queensu.ca/index.php/pocus/article/view/15296Tako-tsubo• Point-of-care-ultrasound (POCUS).• Systolic anterior motion of the mitral valve (SAM).stress cardiomyopathy
spellingShingle Josu López Libano
Lorenzo Alomar Lladó
Leire Zarraga López
The Takotsubo Syndrome: Clinical Diagnosis Using POCUS
POCUS Journal
Tako-tsubo
• Point-of-care-ultrasound (POCUS).
• Systolic anterior motion of the mitral valve (SAM).
stress cardiomyopathy
title The Takotsubo Syndrome: Clinical Diagnosis Using POCUS
title_full The Takotsubo Syndrome: Clinical Diagnosis Using POCUS
title_fullStr The Takotsubo Syndrome: Clinical Diagnosis Using POCUS
title_full_unstemmed The Takotsubo Syndrome: Clinical Diagnosis Using POCUS
title_short The Takotsubo Syndrome: Clinical Diagnosis Using POCUS
title_sort takotsubo syndrome clinical diagnosis using pocus
topic Tako-tsubo
• Point-of-care-ultrasound (POCUS).
• Systolic anterior motion of the mitral valve (SAM).
stress cardiomyopathy
url https://ojs.library.queensu.ca/index.php/pocus/article/view/15296
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