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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...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine
2022
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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. |
format | Online Article Text |
id | pubmed-9436489 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine |
record_format | MEDLINE/PubMed |
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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