Sandbox:DN: Difference between revisions

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{| class="wikitable"
 
!
!Stress Cardiomyopathy
!Anterior Wall MI
|-
|[[Chest pain]] and [[dyspnea]] as presenting symptoms
|✔
|✔
|-
|[[ST elevation]] in [[precordial leads]]
|✔
|✔
|-
|Peak [[CK-MB]] value
|<50 U/L
|↑↑↑
|-
|6-month outcome
|Favorable outcome
|Higher rates of:
* Death
* Cardiac death
* [[Reinfarction]]
* Rehospitalization
* Major cardiac events
|}
Stress cardiomyopathy must also be differentiated from Takotsubo-like syndrome caused by medical conditions, such as [[pheochromocytoma]]:<ref name="pmid23058349">{{cite journal |vauthors=Mikail N, Hess S, Jesel L, El Ghannudi S, El Husseini Z, Trinh A, Ohlmann P, Morel O, Imperiale A |title=Takotsubo and Takotsubo-like syndrome: a common neurogenic myocardial stunning pathway? |journal=Int. J. Cardiol. |volume=166 |issue=1 |pages=248–50 |year=2013 |pmid=23058349 |doi=10.1016/j.ijcard.2012.09.116 |url=}}</ref>
{| class="wikitable"
!
!Stress Cardiomyopathy
!Takotsobu-like Syndrome
|-
|[[Chest pain]] mimicking [[MI]]
|✔
|✔
|-
|[[EKG]] findings ([[ST elevation]])
|✔
|✔
|-
|Positive [[cardiac enzymes]]
|✔
|✔
|-
|[[LV]] regional dysfunction
|✔
|✔
|-
|Patient profile
|Post-menopausal women
|Younger patients with less female predominance
|-
|[[Catecholamine]] levels
|Transient elevation
|Constantly elevated
|-
|Complications
|
|Higher rate of complications, including:
* [[Cardiogenic shock]]
* [[Heart failure]]
* Low [[Ejection fraction|ejection fraction (EF)]]
|}

Latest revision as of 16:11, 19 January 2017