TAKOTSUBO CARDIOMYOPATHYWHAT IS IT?
Weakening of the left ventricle after an emotional stress
Aka Broken Heart
Classically in postmenopausal women after an emotional stress
Chest pain and SOB
ECG resembles a STEMI
Rapid but small rise in troponin (actual STEMI troponin takes longer to rise but has higher peak)
ECHO- ballooning of LV
HOW DID IT GET ITS NAME?
Takotsubo= a pot used to catch octopi—resembles the LV apical ballooning that occurs
ED MANAGEMENT: STEMI alert
** only way to differentiate from a STEMI is a negative angiogram.
PROGNOSIS: much better than STEMI.
Most patient’s fully recover in 2 months
In hospital mortality= 4%