The ECG in the differential diagnosis between takotsubo cardiomyopathy and acute coronary syndrome

2016 ◽  
Vol 15 (2) ◽  
pp. 137-144 ◽  
Author(s):  
Federico Guerra ◽  
Irene Giannini ◽  
Alessandro Capucci
Keyword(s):  
Acute Coronary Syndrome ◽  
Differential Diagnosis ◽  
Takotsubo Cardiomyopathy ◽  
Coronary Syndrome

Letter in reply to the letter to the editor of Geerts N and Schanhorst V with the title “Roche Troponin T hs-STAT meets all expert opinion analytical laboratory practice recommendations for the use of the differential diagnosis of acute coronary syndrome”

2020 ◽  
Vol 0 (0) ◽  
Author(s):  
Anne Marie Dupuy ◽  
Anne Sophie Bargnoux ◽  
François Roubille ◽  
Jean Paul Cristol
Keyword(s):  
Acute Coronary Syndrome ◽  
Differential Diagnosis ◽  
Expert Opinion ◽  
Troponin T ◽  
Analytical Laboratory ◽  
Laboratory Practice ◽  
Coronary Syndrome ◽  
Practice Recommendations ◽  
Letter To The Editor

AbstractOver the period from December 3rd, 2019 to March 13th, 2020, after the urgent field safety notice reported by Roche, we performed double determinations of all troponins from the same tube in parallel and in the same run. We used the same Elecsys troponin T hs reagent (ref 08469873190), first result was obtained with the current hs-cTnT application (18 min) and the second measurement was with the STAT application (9 min). On the 11,388 results in the range from 3 to 500 ng/L, we observed 4.18% discordant results (above 18.8% RCV). Overall, we observed an overestimation of the hs-cTnT STAT assay. The Elecsys Troponin T hs STAT assay demonstrated good analytical performances on Cobas e801 analyzer. However, its use according to the ESC recommendations for the 0 h/1 h algorithm should be carefully evaluated and requires further studies with serial cTn testing.

Takotsubo cardiomyopathy associated with adrenal insufficiency in the context of long-term steroid use mimicking acute coronary syndrome

2021 ◽  
Vol 14 (1) ◽  
pp. e234983
Author(s):  
Timothy Bagnall ◽  
Ying Ran Tow ◽  
Nicholas Bunce ◽  
Zoe Astroulakis
Keyword(s):  
Acute Coronary Syndrome ◽  
Adrenal Insufficiency ◽  
Takotsubo Cardiomyopathy ◽  
Left Ventricular ◽  
Lv Function ◽  
Rapid Improvement ◽  
Steroid Use ◽  
Coronary Syndrome ◽  
First Case

Takotsubo cardiomyopathy (TCMP) is an important, though under-recognised, syndrome which mimics acute coronary syndrome (ACS) presenting with similar clinical, biochemical and ECG features. A 68-year-old man was referred as ACS for emergency coronary angiography; however, a history of lethargy, weight loss and electrolyte abnormalities prompted further investigations. Angiography was postponed, adrenal insufficiency confirmed and steroid replacement commenced. Echocardiography demonstrated reduced left ventricular (LV) function (45%) with regional wall motion abnormalities, although angiography confirmed unobstructed arteries. Steroid replacement induced a rapid improvement in symptoms and LV function. Few cases of TCMP associated with adrenal insufficiency have been reported. This appears to be the first case describing TCMP precipitated by new-onset secondary adrenal insufficiency following long-term steroid use in a male patient, and highlights the importance of considering TCMP in patients presenting with suspected ACS. Here, prompt recognition and treatment of a serious underlying disorder prevented a potentially life-threatening Addisonian crisis.

scholarly journals Differences in negative T waves among acute coronary syndrome, acute pulmonary embolism, and Takotsubo cardiomyopathy

2012 ◽  
Vol 1 (4) ◽  
pp. 349-357 ◽  
Author(s):  
Masami Kosuge ◽  
Toshiaki Ebina ◽  
Kiyoshi Hibi ◽  
Kengo Tsukahara ◽  
Noriaki Iwahashi ◽  
...  
Keyword(s):  
Pulmonary Embolism ◽  
Acute Coronary Syndrome ◽  
Takotsubo Cardiomyopathy ◽  
Acute Pulmonary Embolism ◽  
Coronary Syndrome ◽  
T Waves

scholarly journals Stress-Induced Cardiomyopathy: As a Diagnosis That Is Time Sensitive and Anticipative in Certain Individuals

2018 ◽  
Vol 2018 ◽  
pp. 1-4
Author(s):  
Vishal Dhulipala ◽  
Prema Bezwada ◽  
Rashika Gottimukkula ◽  
Joseph Abboud
Keyword(s):  
Heart Failure ◽  
Acute Coronary Syndrome ◽  
Takotsubo Cardiomyopathy ◽  
Coronary Syndrome ◽  
Treat Heart Failure ◽  
Myocardial Energetics

Stress-induced cardiomyopathy, also known as Takotsubo cardiomyopathy, presents as an acute coronary syndrome. However, the physiology and pathogenesis are different. It is imperative to treat stress-induced cardiomyopathy as an acute coronary syndrome, and once diagnosed, it is imperative to assess and treat heart failure and wait for the impaired myocardial energetics to resolve. At times, the myocardial recuperation is quick that we miss the diagnosis of Takotsubo cardiomyopathy.

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