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Transient Stress Cardiomyopathy

Reviewed 06/2019
 


BASICS

DESCRIPTION

  • Transient stress cardiomyopathy (TSC) is a unique cause of reversible left ventricle (LV) dysfunction with a presentation indistinguishable from the acute coronary syndromes (ACS), p...

DIAGNOSIS

Because TSC often is indistinguishable from an ACS, it should be treated initially as such: 
  • Activate emergency medical services or report to emergency department.

  • Oxygen, IV access, and ECG m...

TREATMENT

  • Guidelines regarding TSC management are lacking because no prospective randomized clinical trials have been performed in this patient population. Therapeutic strategies are therefore based o...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

  • Impairments in systolic function typically resolve in 2 to 3 days but may last as long as 1 month.

  • Patients should follow up with cardiology and serial echocardiog...

REFERENCES

1
Ghadri JR, Wittstein IS, Prasad A, et al. International expert consensus document on takotsubo syndrome (part I): clinical characteristics, diagnostic criteria, and pathophysiology. Eur He...

SEE ALSO

Algorithm: Chest Pain/Acute Coronary Syndrome 

CODES

ICD10

I51.81 Takotsubo syndrome 

ICD9

429.83 Takotsubo syndrome 

SNOMED

441541008 Takotsubo cardiomyopathy 

CLINICAL PEARLS

  • TSC is poorly recognized and often regarded as a benign condition. However, it may be associated with severe clinical complications including death, and its prevalence is likely undere...

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