Takotsubo Syndrome Resulting from Traumatic Multiple Rib Fractures.
10.17479/jacs.2018.8.1.30
- Author:
Yoo Jin JUNG
1
;
Su Wan KIM
;
Joon Hyouk CHOI
Author Information
1. JeJu National University School of Medicine, Jeju, Korea.
- Publication Type:Case Report
- Keywords:
Takotsubo cardiomyopathy;
Trauma;
Rib fractures
- MeSH:
Acute Coronary Syndrome;
Aged;
Cardiomyopathies;
Chest Pain;
Coronary Angiography;
Diagnosis;
Echocardiography;
Electrocardiography;
Female;
Fractures, Multiple;
Humans;
Myocardial Ischemia;
Physical Examination;
Rib Fractures*;
Ribs*;
Stress, Psychological;
Strikes, Employee;
Takotsubo Cardiomyopathy*
- From:
Journal of Acute Care Surgery
2018;8(1):30-32
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Takotsubo syndrome, also known as stress-induced cardiomyopathy, is a transient cardiac syndrome that mimics acute coronary syndrome. This condition should be suspected if the patient presents with chest pain after intense emotional stress, accompanied by an abnormal electrocardiogram, elevated levels of myocardial enzymes, and left ventricular apical akinesia on echocardiography. Coronary angiography should be performed for prompt differentiation from ischemic heart disease. A 77-year-old female presented with traumatic multiple fractures of the left sixth and seventh ribs resulting from a violent strike. Clinical findings of physical examination, laboratory tests, electrocardiogram, and coronary angiography provided the diagnosis of Takotsubo syndrome. We performed conservative management including pain control, and the patient was uneventfully discharged seven days after admission.
