TAILIEUCHUNG - Syed and Khalid International Journal of Emergency Medicine 2011, 4:17

Syed and Khalid International Journal of Emergency Medicine 2011, 4:17 LETTER TO THE EDITORS Open Access Takotsubo cardiomyopathy vs acute myocardial infarction: diagnostic utility of subtle ECG differences Asma Saba Syed and Umair Khalid* Abstract The clinical findings of Takatsubo Cardiomyopathy and acute myocardial infarction can be very similar. While Takatsubo cardiomyopathy rarely leads to severe complications, acute myocardial infarction can be life threatening. Treatment of both these conditions is different and so it is imperative for clinicians to have a high index of suspicion for either. Several EKG differences between the two entities have been proposed. This article summarizes the EKG changes most. | Syed and Khalid International Journal of Emergency Medicine 2011 4 17 http content 4 1 17 o International Journal of Emergency Medicine a SpringerOpen Journal LETTER TO THE EDITORS Open Access Takotsubo cardiomyopathy vs acute myocardial infarction diagnostic utility of subtle ECG differences Asma Saba Syed and Umair Khalid Abstract The clinical findings of Takatsubo Cardiomyopathy and acute myocardial infarction can be very similar. While Takatsubo cardiomyopathy rarely leads to severe complications acute myocardial infarction can be life threatening. Treatment of both these conditions is different and so it is imperative for clinicians to have a high index of suspicion for either. Several EKG differences between the two entities have been proposed. This article summarizes the EKG changes most likely seen in Takatsubo cardiomyopathy and compares them to those seen in Acute Myocardial infarction. Takotsubo cardiomyopathy TCM is a rare clinical entity having clinical and electrocardiographic ECG findings very similar to those found in acute myocardial infarction AMI . First described in a group of postmenopausal Japanese women it derives its name from the striking resemblance of its typical ventriculogram findings to the Japanese takotsubo octopus trap. Its prevalence ranges from to primarily affecting the elderly female population bracket 1 2 . Although the pathogenesis is still a matter of on-going debate cate-cholamine-mediated cardiotoxicity provoked by emotional or physical stress has been proposed as an explanation 1 . Clinical distinction between the TCM and AMI is of paramount importance since the latter is a medical emergency. On the other hand the prognosis of takot-subo cardiomyopathy is generally considered favorable. Although QT interval prolongation in TCM carries a risk for arrhythmias in the acute and sub-acute period sudden cardiac death and life-threatening ventricular arrhythmias are uncommon 1 3 . Recent studies indicate .

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