Why the study?
Lack of awareness that Takotsubo syndrome is no longer categorized as myocardial infarction with non-obstructive coronary arteries can cause diagnostic delays, unnecessary examinations, and harmful interventions.
Takotsubo syndrome can be rapidly diagnosed in the emergency department using the international takotsubo diagnostic score and echocardiography, potentially avoiding diagnostic delays and harmful interventions.
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Alerts clinicians to Takotsubo exclusion from MINOCA to avert missteps; leaves open broader validation and guideline updates.
Some patients presenting with acute coronary syndrome may have had nonobstructive coronary arteries. Nevertheless, a lot of people are not aware that, as of the fourth universal definition of myocardial infarction, Takotsubo syndrome is no longer categorized as myocardial infarction with non-obstructive coronary arteies group. This can lead to diagnostic delays, the use of unnecessary examination, and harmful medical intervention. We present a 68-year-old woman with typical chest pain for 6 h. She had a history of hypertension, transient ischemic attack, and diabetes mellitus. She was diagnosed first with acute coronary syndrome but was later found to have takotsubo syndrome, based on high international takotsubo diagnostic score and transthoracic echocardiography findings of systolic apical ballooning. Within 5 days, she makes a gradual recovery.
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Alsagaff et al. (2023) studied this question.
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