TAKOTSUBO CARDIOMYOPATHYWHAT IS IT?
Weakening of the left ventricle after an emotional stress
Aka Broken Heart
PRESENTATION
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)
NEGATIVE angiogram
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%