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Clin Pract Cases Emerg Med. 2018 Apr 5;2(2):158-162. doi: 10.5811/cpcem.2018.2.37291. eCollection 2018 May.

Takotsubo Cardiomyopathy in the Emergency Department: A FOCUS Heart Breaker.

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West Virginia University School of Medicine, Morgantown, West Virginia.
West Virginia University, Department of Emergency Medicine, Morgantown, West Virginia.
West Virginia University, Department of Medical Education, Morgantown, West Virginia.


Takotsubo cardiomyopathy (TCM) is an important condition for the emergency physician to consider in patients with cardiovascular symptoms. A 70-year-old woman presented with chest pain and nausea following emotional trauma. She had an elevated troponin and a normal electrocardiogram with no history of previous cardiac disease. Point-of-care focused cardiac ultrasound (FOCUS) showed reduced left ventricular systolic function with mid to apical hypokinesis. Cardiac catheterization revealed clean coronary arteries and confirmed the suspected diagnosis of TCM. Few reports emphasize the importance of FOCUS in the diagnosis and management of TCM in the emergency department. We detail FOCUS findings that assisted with diagnosis of TCM and describe how this quick, noninvasive imaging modality can be used to assess and manage emergent conditions.

Conflict of interest statement

Conflicts of Interest: By the CPC-EM article submission agreement, all authors are required to disclose all affiliations, funding sources and financial or management relationships that could be perceived as potential sources of bias. The authors disclosed none.

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