Clinical Case Database / Category: Patient Management
Takotsubo cardiomyopathy: "broken heart syndrome"
Publication details
Dr. Kok Hooi Yap, Foundation Year 2, MBChB., Dr Ninian Lang
Foundation Years Journal, volume 5, issue 1, p.70 (123Doc Education, London, February 2011)
Abstract
This case based discussion focuses on a patient who presents with chest pain and was subsequently diagnosed with Takotsubo cardiomyopathy (TTC). Her classical clinical presentation throughout the clinical course illustrates a stepwise approach of the investigation, working diagnosis and treatment of this rare, newly recognised and potentially fatal syndrome. The aetiology and long term treatment of TTC are still under evaluation.
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Authors
Dr. Kok Hooi Yap, Foundation Year 2, MBChB.
Gastroenterology/Liver Transplant Unit
Royal Infirmary of Edinburgh
51 Little France Crescent
Old Dalkeith Road
Edinburgh
EH16 4SA
Dr Ninian Lang
Clinical Lecturer and SpR in Cardiology
Cardiology Department
Royal Infirmary of Edinburgh
References
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4. Opolski G, Pawlak MM, Roik MF, Kochanowski J, Piatkowski R, et al. Clinical presentation, treatment, and long-term outcomes in patients with takotsubo cardiomyopathy: Experience of a single cardiology centre. Polskie Archiwum Medycyny Wewnetrznej 2010; 120(6): 231-236.
5. Merchant EE, Johnson SW, Nguyen P, Kang C, Mallon WK. Takotsubo Cardiomiopathy: A Case Series and Review of the Literature. The western Journal of Emergency Medicine 2008; 9(2):104-111.
6. Fazio G, Pizzuto C, Barbaro G, Sutera L, Incalcaterra E, Evola G. Chronic pharmacological treatment in takotsubo cardiomyopathy. International Journal of Cardiology 2008; 127(1): 121-123. http://www. internationaljournalofcardiology.com/article/S0167-5273(07)00857- 1/abstract (accessed 29 August 2010).
7. Lateef F. The "broken heart syndrome": you're likely to have it only once! Singapore Medical Journal 2010; 51 (4): e76-78.
8. van der Wall EE, Holman ER, Scholte AJ, Bax JJ. Echocardiography in takotsubo cardiomyopathy; a useful approach? The international of Cardiovascular Imaging 2010; 26(5): 537-540.
9. Aurigemma GP. Acute stress cardiomyopathy and reversible left ventricular dysfunction. Cardiology Rounds 2006; 10(10): 302-061.
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The Foundation Years Clinical Cases Database is a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.
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