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Takotsubo Cardiomyopathy Following Traumatic Hand Amputation: A Case Report

INTRODUCTION: Takotsubo or stress cardiomyopathy is a syndrome of transient left ventricular systolic dysfunction seen in the absence of obstructive coronary artery disease. CASE REPORT: We describe a case of stress cardiomyopathy diagnosed in the emergency department (ED) using point-of-care ultras...

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Autores principales: Bacro-Duverger, Bastien H., Thorburn, Ashley Q., Denney, Brad D., Gullett, John P., Thompson, Maxwell A., Pigott, David C.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9436489/
https://www.ncbi.nlm.nih.gov/pubmed/36049187
http://dx.doi.org/10.5811/cpcem.2022.2.55463
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author Bacro-Duverger, Bastien H.
Thorburn, Ashley Q.
Denney, Brad D.
Gullett, John P.
Thompson, Maxwell A.
Pigott, David C.
author_facet Bacro-Duverger, Bastien H.
Thorburn, Ashley Q.
Denney, Brad D.
Gullett, John P.
Thompson, Maxwell A.
Pigott, David C.
author_sort Bacro-Duverger, Bastien H.
collection PubMed
description INTRODUCTION: Takotsubo or stress cardiomyopathy is a syndrome of transient left ventricular systolic dysfunction seen in the absence of obstructive coronary artery disease. CASE REPORT: We describe a case of stress cardiomyopathy diagnosed in the emergency department (ED) using point-of-care ultrasound associated with traumatic hand amputation. The patient suffered a near-complete amputation of the right hand while using a circular saw, subsequently complicated by brief cardiac arrest with rapid return of spontaneous circulation. Point-of-care ultrasonography in the ED revealed the classic findings of takotsubo cardiomyopathy, including apical ballooning of the left ventricle and hyperkinesis of the basal walls with a severely reduced ejection fraction. After formalization of the amputation and cardiovascular evaluation, the patient was discharged from the hospital in stable condition 10 days later. CONCLUSION: Emergency physicians should be aware of the possibility of stress cardiomyopathy as a cause for acute decompensation, even in isolated extremity trauma.
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spelling pubmed-94364892022-09-02 Takotsubo Cardiomyopathy Following Traumatic Hand Amputation: A Case Report Bacro-Duverger, Bastien H. Thorburn, Ashley Q. Denney, Brad D. Gullett, John P. Thompson, Maxwell A. Pigott, David C. Clin Pract Cases Emerg Med Case Report INTRODUCTION: Takotsubo or stress cardiomyopathy is a syndrome of transient left ventricular systolic dysfunction seen in the absence of obstructive coronary artery disease. CASE REPORT: We describe a case of stress cardiomyopathy diagnosed in the emergency department (ED) using point-of-care ultrasound associated with traumatic hand amputation. The patient suffered a near-complete amputation of the right hand while using a circular saw, subsequently complicated by brief cardiac arrest with rapid return of spontaneous circulation. Point-of-care ultrasonography in the ED revealed the classic findings of takotsubo cardiomyopathy, including apical ballooning of the left ventricle and hyperkinesis of the basal walls with a severely reduced ejection fraction. After formalization of the amputation and cardiovascular evaluation, the patient was discharged from the hospital in stable condition 10 days later. CONCLUSION: Emergency physicians should be aware of the possibility of stress cardiomyopathy as a cause for acute decompensation, even in isolated extremity trauma. University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine 2022-07-27 /pmc/articles/PMC9436489/ /pubmed/36049187 http://dx.doi.org/10.5811/cpcem.2022.2.55463 Text en © 2022 Bacro-Duverger. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) License. See: http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/)
spellingShingle Case Report
Bacro-Duverger, Bastien H.
Thorburn, Ashley Q.
Denney, Brad D.
Gullett, John P.
Thompson, Maxwell A.
Pigott, David C.
Takotsubo Cardiomyopathy Following Traumatic Hand Amputation: A Case Report
title Takotsubo Cardiomyopathy Following Traumatic Hand Amputation: A Case Report
title_full Takotsubo Cardiomyopathy Following Traumatic Hand Amputation: A Case Report
title_fullStr Takotsubo Cardiomyopathy Following Traumatic Hand Amputation: A Case Report
title_full_unstemmed Takotsubo Cardiomyopathy Following Traumatic Hand Amputation: A Case Report
title_short Takotsubo Cardiomyopathy Following Traumatic Hand Amputation: A Case Report
title_sort takotsubo cardiomyopathy following traumatic hand amputation: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9436489/
https://www.ncbi.nlm.nih.gov/pubmed/36049187
http://dx.doi.org/10.5811/cpcem.2022.2.55463
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