Stress cardiomyopathy physical examination: Difference between revisions

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==Physical examination==
==Physical examination==
The following physical examination findings may be seen in patients with stress cardiomyopathy:<ref name="pmid23073280">{{cite journal |vauthors=Y-Hassan S, Yamasaki K |title=History of takotsubo syndrome: is the syndrome really described as a disease entity first in 1990? Some inaccuracies |journal=Int. J. Cardiol. |volume=166 |issue=3 |pages=736–7 |year=2013 |pmid=23073280 |doi=10.1016/j.ijcard.2012.09.183 |url=}}</ref>
The following physical examination findings may be seen in patients with stress cardiomyopathy:<ref name="pmid23073280">{{cite journal |vauthors=Y-Hassan S, Yamasaki K |title=History of takotsubo syndrome: is the syndrome really described as a disease entity first in 1990? Some inaccuracies |journal=Int. J. Cardiol. |volume=166 |issue=3 |pages=736–7 |year=2013 |pmid=23073280 |doi=10.1016/j.ijcard.2012.09.183 |url=}}</ref>
*General appearance: Patient may look ill and in distress
{| class="wikitable"
*[[Vital signs]]: can be within normal limits, but some patients have [[hypotension]], [[bradycardia]] and/or [[tachypnea]]
!Organ System
*Cardiac [[auscultation]]: approximately 20% of patients may have a transient [[Systolic murmurs|systolic murmur]]
!Findings
 
!Suggestive Of
|-
!General appearance
|Patient may be [[anxious]], ill-appearing or [[diaphoretic]]
|
|-
!Vital signs
|
*[[Tachypnea]]
*[[Tachycardia]] or [[bradycardia]]
*[[Hypotension]]
|[[Cardiogenic shock]]
|-
!Cardiac
|[[Murmurs]], [[S3]], [[gallop rhythm]], [[Displaced point of maximal impulse|displaced PMI]]
|[[Heart failure]]
|-
!Respiratory
|[[Rales]], [[crackles]]
|[[Pulmonary edema]]
|}
==References==
==References==
{{reflist|2}}
{{reflist|2}}
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{{WH}}
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{{WS}}

Revision as of 23:14, 13 January 2017

Stress cardiomyopathy Microchapters

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Physical examination findings in patients with stress cardiomyopathy are non-specific and non-diagnostic. The diagnosis of stress cardiomyopathy is largely based on ECG, echocardiographic findings, as well as cardiac catheterization.

Physical examination

The following physical examination findings may be seen in patients with stress cardiomyopathy:[1]

Organ System Findings Suggestive Of
General appearance Patient may be anxious, ill-appearing or diaphoretic
Vital signs Cardiogenic shock
Cardiac Murmurs, S3, gallop rhythm, displaced PMI Heart failure
Respiratory Rales, crackles Pulmonary edema

References

  1. Y-Hassan S, Yamasaki K (2013). "History of takotsubo syndrome: is the syndrome really described as a disease entity first in 1990? Some inaccuracies". Int. J. Cardiol. 166 (3): 736–7. doi:10.1016/j.ijcard.2012.09.183. PMID 23073280.

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