Takotsubo Syndrome in the Emergency Room — Diagnostic Challenges and Suggested Algorithm
Takotsubo syndrome is an important condition to consider among patients with acute chest pain in the emergency room. It often mimics acute coronary syndrome since chest pain and ECG changes are key features in both conditions. The hallmark of takotsubo syndrome is transient left ventricular dysfunct...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
IMR Press
2022-04-01
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| Series: | Reviews in Cardiovascular Medicine |
| Subjects: | |
| Online Access: | https://www.imrpress.com/journal/RCM/23/4/10.31083/j.rcm2304131 |
| _version_ | 1818048482462662656 |
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| author | Gassan Moady Gal Rubinstein Loai Mobarki Shaul Atar |
| author_facet | Gassan Moady Gal Rubinstein Loai Mobarki Shaul Atar |
| author_sort | Gassan Moady |
| collection | DOAJ |
| description | Takotsubo syndrome is an important condition to consider among patients with acute chest pain in the emergency room. It often mimics acute coronary syndrome since chest pain and ECG changes are key features in both conditions. The hallmark of takotsubo syndrome is transient left ventricular dysfunction (characterized by apical ballooning) followed by complete echocardiographic recovery in most cases. Although most patients exhibit a benign course, lethal complications may occur. The use of hand-held point-of-care focused cardiac ultrasound may be helpful for early identification of takotsubo syndrome and distinguishing it from acute coronary syndrome and other cardiovascular emergencies. Emergency room physicians should be familiar with typical and atypical presentations of takotsubo syndrome and its key electrocardiographic changes. The approach in the emergency room should be based on a combination the clinical presentation, ECG, and handheld echocardiography device findings, rather than a single electrocardiographic algorithm. |
| first_indexed | 2024-12-10T10:22:23Z |
| format | Article |
| id | doaj.art-7e06f1581b99439e9016d6b5a1f2668e |
| institution | Directory Open Access Journal |
| issn | 1530-6550 |
| language | English |
| last_indexed | 2024-12-10T10:22:23Z |
| publishDate | 2022-04-01 |
| publisher | IMR Press |
| record_format | Article |
| series | Reviews in Cardiovascular Medicine |
| spelling | doaj.art-7e06f1581b99439e9016d6b5a1f2668e2022-12-22T01:52:50ZengIMR PressReviews in Cardiovascular Medicine1530-65502022-04-0123413110.31083/j.rcm2304131S1530-6550(22)00455-0Takotsubo Syndrome in the Emergency Room — Diagnostic Challenges and Suggested AlgorithmGassan Moady0Gal Rubinstein1Loai Mobarki2Shaul Atar3Department of Cardiology, Galilee Medical Center, 2210001 Nahariya, IsraelDepartment of Cardiology, Galilee Medical Center, 2210001 Nahariya, IsraelDepartment of Cardiology, Galilee Medical Center, 2210001 Nahariya, IsraelDepartment of Cardiology, Galilee Medical Center, 2210001 Nahariya, IsraelTakotsubo syndrome is an important condition to consider among patients with acute chest pain in the emergency room. It often mimics acute coronary syndrome since chest pain and ECG changes are key features in both conditions. The hallmark of takotsubo syndrome is transient left ventricular dysfunction (characterized by apical ballooning) followed by complete echocardiographic recovery in most cases. Although most patients exhibit a benign course, lethal complications may occur. The use of hand-held point-of-care focused cardiac ultrasound may be helpful for early identification of takotsubo syndrome and distinguishing it from acute coronary syndrome and other cardiovascular emergencies. Emergency room physicians should be familiar with typical and atypical presentations of takotsubo syndrome and its key electrocardiographic changes. The approach in the emergency room should be based on a combination the clinical presentation, ECG, and handheld echocardiography device findings, rather than a single electrocardiographic algorithm.https://www.imrpress.com/journal/RCM/23/4/10.31083/j.rcm2304131takotsubo syndromeacute coronary syndromeechocardiographypoint-of-care focused cardiac ultrasound |
| spellingShingle | Gassan Moady Gal Rubinstein Loai Mobarki Shaul Atar Takotsubo Syndrome in the Emergency Room — Diagnostic Challenges and Suggested Algorithm Reviews in Cardiovascular Medicine takotsubo syndrome acute coronary syndrome echocardiography point-of-care focused cardiac ultrasound |
| title | Takotsubo Syndrome in the Emergency Room — Diagnostic Challenges and Suggested Algorithm |
| title_full | Takotsubo Syndrome in the Emergency Room — Diagnostic Challenges and Suggested Algorithm |
| title_fullStr | Takotsubo Syndrome in the Emergency Room — Diagnostic Challenges and Suggested Algorithm |
| title_full_unstemmed | Takotsubo Syndrome in the Emergency Room — Diagnostic Challenges and Suggested Algorithm |
| title_short | Takotsubo Syndrome in the Emergency Room — Diagnostic Challenges and Suggested Algorithm |
| title_sort | takotsubo syndrome in the emergency room diagnostic challenges and suggested algorithm |
| topic | takotsubo syndrome acute coronary syndrome echocardiography point-of-care focused cardiac ultrasound |
| url | https://www.imrpress.com/journal/RCM/23/4/10.31083/j.rcm2304131 |
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