Key result
Point-of-care ultrasound successfully identified basal wall hypokinesis and reduced ejection fraction, facilitating the diagnosis of the rare reverse takotsubo cardiomyopathy.
Case Report (n=1)
No
Point-of-care ultrasound can be effectively used in the emergency department to identify basal wall hypokinesis and reduced ejection fraction indicative of reverse takotsubo cardiomyopathy.
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POCUS may flag reverse takotsubo in the ED; hypothesis-generating and requires prospective validation before practice change.
CASE PRESENTATION: We present a case of a 50-year-old patient who presented to the emergency department with palpitations, nausea, vomiting, and chest discomfort. She was found to have a reduced ejection fraction and basal wall hypokinesis on point-of-care ultrasound concerning for reverse takotsubo cardiomyopathy. DISCUSSION: Reverse takotsubo cardiomyopathy is a rare variant of takotsubo cardiomyopathy and involves basal ballooning instead of apical ballooning. Ultrasound findings concerning for reverse takotsubo cardiomyopathy are basal wall hypokinesis or akinesis.
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Dave et al. (2024) conducted a case report in Reverse Takotsubo Cardiomyopathy (n=1). Point-of-care ultrasound was evaluated on Identification of basal wall hypokinesis or akinesis. Point-of-care ultrasound successfully identified basal wall hypokinesis and reduced ejection fraction, facilitating the diagnosis of the rare reverse takotsubo cardiomyopathy.
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