Takotsubo Cardiomyopathy Following Traumatic Hand Amputation: A Case Report

Introduction: Takotsubo or stress cardiomyopathy is a syndrome of transient left ventricular systolic dysfunction seen in the absence of obstructive coronary artery disease. Case Report: We describe a case of stress cardiomyopathy diagnosed in the emergency department (ED) using point-of-care ultras...

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Bibliographic Details
Published in:	Clinical practice and cases in emergency medicine Vol. 6; no. 3; pp. 225 - 228
Main Authors:	Bacro-Duverger, Bastien, Thorburn, Ashley, Denney, Brad, Gullett, John, Thomspon, Mawell, Pigott, David
Format:	Journal Article
Language:	English
Published:	Irvine University of California Digital Library - eScholarship 01-08-2022 University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine eScholarship Publishing, University of California
Subjects:	Amputation Cardiomyopathy Cardiovascular disease Case Report Case reports Clinical medicine Coronary vessels Ejection fraction Electrocardiography Emergency medical care Females Hemoglobin Hospitals Intubation Medicine Pathogenesis Plastic surgery Point of care testing Trauma Ultrasonic imaging Vein & artery diseases
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Summary:	Introduction: Takotsubo or stress cardiomyopathy is a syndrome of transient left ventricular systolic dysfunction seen in the absence of obstructive coronary artery disease. Case Report: We describe a case of stress cardiomyopathy diagnosed in the emergency department (ED) using point-of-care ultrasound associated with traumatic hand amputation. The patient suffered a near-complete amputation of the right hand while using a circular saw, subsequently complicated by brief cardiac arrest with rapid return of spontaneous circulation. Point-of-care ultrasonography in the ED revealed the classic findings of takotsubo cardiomyopathy, including apical ballooning of the left ventricle and hyperkinesis of the basal walls with a severely reduced ejection fraction. After formalization of the amputation and cardiovascular evaluation, the patient was discharged from the hospital in stable condition 10 days later. Conclusion: Emergency physicians should be aware of the possibility of stress cardiomyopathy as a cause for acute decompensation, even in isolated extremity trauma.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	2474-252X 2474-252X
DOI:	10.5811/cpcem.2022.2.55463