Stress cardiomyopathy electrocardiogram: Difference between revisions

Jump to navigation Jump to search
(Created page with "__NOTOC__ {{Stress cardiomyopathy}} {{CMG}} ==Overview== ==References== {{reflist|2}} {{WH}} {{WS}}")
 
Line 3: Line 3:
{{CMG}}
{{CMG}}
==Overview==
==Overview==
==Electrocardiogram==
The [[electrocardiogram|EKG]] findings are often confused with those of an acute anterior wall [[myocardial infarction]].<ref name=Azzarelli-2006 /><ref name=Bybee-2006>{{cite journal | author=Bybee KA, Motiei A, Syed IS, Kara T, Prasad A, Lennon RJ, Murphy JG, Hammill SC, Rihal CS, Wright RS | title=Electrocardiography cannot reliably differentiate transient left ventricular apical ballooning syndrome from anterior ST-segment elevation myocardial infarction | journal=J Electrocardiol | year=2006 | id=PMID 17067626}}</ref>  While the ECG may reveal ST-segment elevation, it may also reveal non-specific ST/T wave abnormality, usually in the precordial leads.  The 12-lead ECG alone is not helpful in differentiating apical ballooning syndrome from a traditional thrombotic  [[ST-elevation myocardial infarction]]. Evolutionary changes occur over 2 to 3 days that are characteristic and include resolution of the ST-segment elevation and development of diffuse and frequently deep T-wave inversion.
[[Image:Takotsubo ECG.JPEG|thumb|center|ECG showing [[sinus tachycardia]] and non-specific [[ST segment|ST]] and [[T wave]] changes from a patient with confirmed Takotsubo cardiomyopathy.]]
The diagnosis of takotsubo cardiomyopathy may be difficult upon presentation. The [[electrocardiogram|EKG]] findings are often confused with those found during an acute anterior wall [[myocardial infarction]].<ref name=Azzarelli-2006 /><ref name=Bybee-2006>{{cite journal | author=Bybee KA, Motiei A, Syed IS, Kara T, Prasad A, Lennon RJ, Murphy JG, Hammill SC, Rihal CS, Wright RS | title=Electrocardiography cannot reliably differentiate transient left ventricular apical ballooning syndrome from anterior ST-segment elevation myocardial infarction | journal=J Electrocardiol | year=2006 | pmid=17067626}}</ref>
==References==
==References==
{{reflist|2}}
{{reflist|2}}
{{WH}}
{{WH}}
{{WS}}
{{WS}}

Revision as of 06:11, 28 August 2012

Stress cardiomyopathy Microchapters

Home

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Stress Cardiomyopathy from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Criteria

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

Chest X Ray

CT

MRI

Echocardiography

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Unstable angina/non ST elevation myocardial infarction in Stress (Takotsubo) Cardiomyopathy

Future or Investigational Therapies

Case Studies

Case #1

Stress cardiomyopathy electrocardiogram On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Stress cardiomyopathy electrocardiogram

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Stress cardiomyopathy electrocardiogram

CDC on Stress cardiomyopathy electrocardiogram

Stress cardiomyopathy electrocardiogram in the news

Blogs on Stress cardiomyopathy electrocardiogram

Directions to Hospitals Treating Stress cardiomyopathy

Risk calculators and risk factors for Stress cardiomyopathy electrocardiogram

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

Overview

Electrocardiogram

The EKG findings are often confused with those of an acute anterior wall myocardial infarction.[1][2] While the ECG may reveal ST-segment elevation, it may also reveal non-specific ST/T wave abnormality, usually in the precordial leads. The 12-lead ECG alone is not helpful in differentiating apical ballooning syndrome from a traditional thrombotic ST-elevation myocardial infarction. Evolutionary changes occur over 2 to 3 days that are characteristic and include resolution of the ST-segment elevation and development of diffuse and frequently deep T-wave inversion.

ECG showing sinus tachycardia and non-specific ST and T wave changes from a patient with confirmed Takotsubo cardiomyopathy.

The diagnosis of takotsubo cardiomyopathy may be difficult upon presentation. The EKG findings are often confused with those found during an acute anterior wall myocardial infarction.[1][2]

References

  1. 1.0 1.1
  2. 2.0 2.1 Bybee KA, Motiei A, Syed IS, Kara T, Prasad A, Lennon RJ, Murphy JG, Hammill SC, Rihal CS, Wright RS (2006). "Electrocardiography cannot reliably differentiate transient left ventricular apical ballooning syndrome from anterior ST-segment elevation myocardial infarction". J Electrocardiol. PMID 17067626.

Template:WH Template:WS