Takotsubo Syndrome Case Study

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In a case report submitted by Misumi et al. (2010), a 79-year-old man reported with chest pain three days in a row, findings after some testing revealed he had elevated troponins and elevated ST segments on EKG. A 2D echocardiogram showed left ventricular apical akinesis with basal hyperkinesia. He had a coronary angiogram completed, and it showed no stenotic arteries, however they also injected ergonovine which appeared to cause a right coronary artery spasm. The patient was treated with calcium channel blockers and nitrates. A follow up two weeks later showed normal wall motion as well as a sigmoid septum, and normal systolic function. He was ultimately diagnosed with takotsubo cardiomyopathy caused by coronary spasm and intraventricular obstruction (sigmoid …show more content…
Takotsubo syndrome or “broken heart syndrome” can happen from any kind of serious stress including physical or physiologic stress, emotional stress, or even coronary artery spasms. Most patients with takotsubo cardiomyopathy seem to be treated medically with drugs that are best suited for the patient at hand. The 72-year-old man was given calcium channel blockers to relax his arteries, controlling the spasms, and nitrates to control his chest pain. The young woman who had her takotsubo incident while in surgery, was given milrinone by IV, which is a drug that increases blood flow and increases cardiac contractility strength. The Iowa Heart patient was given Coreg, which may be given to patients after heart attack to prevent heart failure. Takotsubo cardiomyopathy may present itself differently from case to case, and it may be treated differently depending on the etiology of the given case. In a typical case of broken heart syndrome, the patient recovers and has healthy heart function, especially if treated

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