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Atypical Takotsubo Cardiomyopathy Presentation in an Adult Patient

Takotsubo cardiomyopathy (TSC) is a transient cardiac condition brought on by physical and emotional distress causing left ventricular akinesis. Typically, patients are older females that present with substernal chest pain radiating to the left arm, presenting similarly to acute coronary syndrome. I...

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Autores principales: Martin, Jasmin, Wallingford, Allison, Dhami, Dana, Sood, Aseem
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Greater Baltimore Medical Center 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9195090/
https://www.ncbi.nlm.nih.gov/pubmed/35711405
http://dx.doi.org/10.55729/2000-9666.1042
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author Martin, Jasmin
Wallingford, Allison
Dhami, Dana
Sood, Aseem
author_facet Martin, Jasmin
Wallingford, Allison
Dhami, Dana
Sood, Aseem
author_sort Martin, Jasmin
collection PubMed
description Takotsubo cardiomyopathy (TSC) is a transient cardiac condition brought on by physical and emotional distress causing left ventricular akinesis. Typically, patients are older females that present with substernal chest pain radiating to the left arm, presenting similarly to acute coronary syndrome. In addition, the elevated troponins and EKG changes such as ST elevations and T wave inversions seen in acute coronary syndrome may also be appreciated in TSC. While there have been many reports of TSC presenting in a similar manner to acute coronary syndrome, this case report will describe an atypical presentation of Takotsubo cardiomyopathy. The patient we are presenting is an African American middle-aged female who presented to the emergency department with a four-day history of non-bilious, non-bloody vomiting. Chief complaint denied any chest pain, shortness of breath, or recent physical and emotional stressors. Her past medical history was significant for Chronic Obstructive Pulmonary Disease Gold Criteria 2, controlled Hypertension, and Human Immunodeficiency Virus for which she is on antiretroviral therapy. Her hospital course was complicated by shortness of breath beginning on day two as well as elevated troponin levels and global T wave inversions on EKG. Patient underwent cardiac catheterization, which revealed left ventricular akinesis with an ejection fraction of <30%. Catherization also revealed no obstructive coronary artery disease, thus the diagnosis of Takotsubo cardiomyopathy was made.
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spelling pubmed-91950902022-06-15 Atypical Takotsubo Cardiomyopathy Presentation in an Adult Patient Martin, Jasmin Wallingford, Allison Dhami, Dana Sood, Aseem J Community Hosp Intern Med Perspect Case Report Takotsubo cardiomyopathy (TSC) is a transient cardiac condition brought on by physical and emotional distress causing left ventricular akinesis. Typically, patients are older females that present with substernal chest pain radiating to the left arm, presenting similarly to acute coronary syndrome. In addition, the elevated troponins and EKG changes such as ST elevations and T wave inversions seen in acute coronary syndrome may also be appreciated in TSC. While there have been many reports of TSC presenting in a similar manner to acute coronary syndrome, this case report will describe an atypical presentation of Takotsubo cardiomyopathy. The patient we are presenting is an African American middle-aged female who presented to the emergency department with a four-day history of non-bilious, non-bloody vomiting. Chief complaint denied any chest pain, shortness of breath, or recent physical and emotional stressors. Her past medical history was significant for Chronic Obstructive Pulmonary Disease Gold Criteria 2, controlled Hypertension, and Human Immunodeficiency Virus for which she is on antiretroviral therapy. Her hospital course was complicated by shortness of breath beginning on day two as well as elevated troponin levels and global T wave inversions on EKG. Patient underwent cardiac catheterization, which revealed left ventricular akinesis with an ejection fraction of <30%. Catherization also revealed no obstructive coronary artery disease, thus the diagnosis of Takotsubo cardiomyopathy was made. Greater Baltimore Medical Center 2022-05-02 /pmc/articles/PMC9195090/ /pubmed/35711405 http://dx.doi.org/10.55729/2000-9666.1042 Text en © 2022 Greater Baltimore Medical Center https://creativecommons.org/licenses/by-nc/4.0/This is an open access article under the CC BY-NC license (http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) ).
spellingShingle Case Report
Martin, Jasmin
Wallingford, Allison
Dhami, Dana
Sood, Aseem
Atypical Takotsubo Cardiomyopathy Presentation in an Adult Patient
title Atypical Takotsubo Cardiomyopathy Presentation in an Adult Patient
title_full Atypical Takotsubo Cardiomyopathy Presentation in an Adult Patient
title_fullStr Atypical Takotsubo Cardiomyopathy Presentation in an Adult Patient
title_full_unstemmed Atypical Takotsubo Cardiomyopathy Presentation in an Adult Patient
title_short Atypical Takotsubo Cardiomyopathy Presentation in an Adult Patient
title_sort atypical takotsubo cardiomyopathy presentation in an adult patient
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9195090/
https://www.ncbi.nlm.nih.gov/pubmed/35711405
http://dx.doi.org/10.55729/2000-9666.1042
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