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Transient Stress Cardiomyopathy

Reviewed 06/2018
 


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 (ACSs), ...

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

  • Activation of emergency medical services

  • Advanced cardiac life support therapies as needed

  • Oxygen

  • IV access

  • ECG monitoring

MEDICATION

After diagnostic cardiac catheterization, empirical treatment ...

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
Bybee KA, Prasad A. Stress-related cardiomyopathy syndromes. Circulation.  2008;118(4):397–409. [View Abstract on OvidMedline]
2
Fitzgibbons TP, Madias C, Seth A, et al. Prevalence and...

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 a cause of reversible LV dysfunction with a clinical presentation indistinguishable from the ACS, particularly ST-segment elevation MI.

  • Echocardiography may strongly suggest the ...

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