{"pk":1170,"title":"Takotsubo Cardiomyopathy Following Traumatic  Hand Amputation: A Case Report","subtitle":null,"abstract":"Introduction: \nTakotsubo or stress cardiomyopathy is a syndrome of transient left ventricular systolic dysfunction seen in the absence of obstructive coronary artery disease.\nCase Report:\n 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.\nConclusion:\n Emergency physicians should be aware of the possibility of stress cardiomyopathy as a cause for acute decompensation, even in isolated extremity trauma.","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"stress cardiomyopathy"},{"word":"takotsubo cardiomyopathy"},{"word":"traumatic amputation"},{"word":"ultrasonography"},{"word":"case report."}],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2sq8g9qm","frozenauthors":[{"first_name":"Bastien","middle_name":"H.","last_name":"Bacro-Duverger","name_suffix":"","institution":"The University of Alabama at Birmingham, Department of Emergency Medicine, Birmingham, Alabama","department":"None"},{"first_name":"Ashley","middle_name":"Q.","last_name":"Thorburn","name_suffix":"","institution":"The University of Alabama at Birmingham, Division of Plastic Surgery, Department of Surgery, Birmingham, Alabama","department":"None"},{"first_name":"Brad","middle_name":"D.","last_name":"Denney","name_suffix":"","institution":"The University of Alabama at Birmingham, Division of Plastic Surgery, Department of Surgery, Birmingham, Alabama","department":"None"},{"first_name":"John","middle_name":"P.","last_name":"Gullett","name_suffix":"","institution":"The University of Alabama at Birmingham, Department of Emergency Medicine, Birmingham, Alabama","department":"None"},{"first_name":"Maxwell","middle_name":"A.","last_name":"Thompson","name_suffix":"","institution":"The University of Alabama at Birmingham, Department of Emergency Medicine, Birmingham, Alabama","department":"None"},{"first_name":"David","middle_name":"C.","last_name":"Pigott","name_suffix":"","institution":"The University of Alabama at Birmingham, Department of Emergency Medicine, Birmingham, Alabama","department":"None"}],"date_submitted":"2022-07-27T17:41:56Z","date_accepted":"2022-07-27T17:41:56Z","date_published":"2022-07-27T17:43:29Z","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uciem_cpcem/article/1170/galley/910/download/"}]}