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{| class="wikitable"
!Disease
!Can Present With
!Cardiac Enzymes
!Catecholamine Levels
!ECG Findings
!Echocardiography Findings
|-
|Stress Cardiomyopathy
|[[Chest pain]], [[dyspnea]]
|↑
|Transiently elevated
|[[ST elevation]] in [[precordial leads]]
|[[LV]] regional dysfunction
|-
|[[Pheochromocytoma]]
|[[Chest pain]], [[dyspnea]]
|Can be positive
|Persistently elevated
|[[ST elevation]] in [[precordial leads]]
|[[LV]] regional dysfunction
|-
|[[Anterior MI]]
|[[Chest pain]], [[dyspnea]]
|↑↑↑
|N/A
|[[ST elevation]] in [[precordial leads]]
|Dysfunction at area of [[infarction]]
|-
|[[Myocarditis]]
|[[Chest pain]], [[dyspnea]], [[fever]]
|May be acutely elevated
|N/A
|May show [[atrial fibrillation]], [[Left bundle branch block|LBBB]] or [[AV block]]
|Diffuse [[hypokinesia]]
|-
|[[Dilated cardiomyopathy|Dilated Cardiomyopathy]]
|[[Dyspnea]], [[dyspnea on exertion]], [[cough]], [[edema]], [[fatigue]]
|Usually negative
|N/A
|May show [[atrial fibrillation]], [[Left bundle branch block|LBBB]] or [[AV block]]
|[[LV]] enlargement
|-
|[[Hypertrophic Cardiomyopathy]]
|[[Chest pain]], [[dyspnea]], [[syncope]], [[sudden cardiac death]]
|Usually negative
|N/A
|Common findings include:
* [[Right axis deviation|Right]] or [[left axis deviation]]
* [[Bundle branch block|BBB]]
* [[Sinus bradycardia]]
|[[LV hypertrophy]], [[systolic]] anterior motion of the [[mitral valve]], asymmetric septal [[hypertrophy]]
|}


{| 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