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{
    "pk": 47179,
    "title": "Not Just Another Broken Heart: A Case Report of Takotsubo Cardiomyopathy Causing Syncope",
    "subtitle": null,
    "abstract": "<p><strong>Introduction</strong>: Patients with symptoms suggestive of acute coronary syndromes account for up to 10% of emergency department (ED) visits, and of those visits 2% are diagnosed with takotsubo syndrome. Takotsubo syndrome associated with left ventricular outflow tract (LVOT) obstruction is an important but uncommon cause of chest pain and syncope in patients presenting with ST- segment elevations. Although rare, this variant is associated with worse clinical outcomes. Early recognition of LVOT obstruction in these patients is important to help guide proper management.</p>\n<p><strong>Case Report</strong>: We report a case of a 66-year-old female presenting to the ED after a syncopal episode with ST-segment elevations on the electrocardiogram. Point-of-care ultrasound revealed apical hypokinesis, thickened basal septum with LVOT obstruction and systolic anterior motion.</p>\n<p><strong>Conclusion</strong>: Point-of-care ultrasound can help quickly diagnose takotsubo cardiomyopathy and its complications, providing guidance to accurate management.</p>",
    "language": "eng",
    "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": "case report"
        },
        {
            "word": "syncope"
        },
        {
            "word": "Takotsubo Syndrome"
        },
        {
            "word": "systolic anterior motion"
        },
        {
            "word": "point-of-care ultrasound"
        },
        {
            "word": "left ventricular outflow tract obstruction"
        }
    ],
    "section": "Case Reports",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/11b3m7cn",
    "frozenauthors": [
        {
            "first_name": "Aileen",
            "middle_name": "",
            "last_name": "Virella",
            "name_suffix": "",
            "institution": "North Shore University Hospital, Department of Emergency Medicine, Manhasset, New York",
            "department": ""
        },
        {
            "first_name": "Stephanie",
            "middle_name": "",
            "last_name": "Jose",
            "name_suffix": "",
            "institution": "North Shore University Hospital, Department of Emergency Medicine, Manhasset, New York",
            "department": ""
        },
        {
            "first_name": "Joseph",
            "middle_name": "",
            "last_name": "Mirro",
            "name_suffix": "",
            "institution": "North Shore University Hospital, Department of Emergency Medicine, Manhasset, New York",
            "department": ""
        },
        {
            "first_name": "allison",
            "middle_name": "",
            "last_name": "cohen",
            "name_suffix": "",
            "institution": "North Shore University Hospital, Department of Emergency Medicine, Manhasset, New York",
            "department": ""
        },
        {
            "first_name": "Nicholas",
            "middle_name": "",
            "last_name": "Bielawa",
            "name_suffix": "",
            "institution": "North Shore University Hospital, Department of Emergency Medicine, Manhasset, New York",
            "department": ""
        },
        {
            "first_name": "mathew",
            "middle_name": "",
            "last_name": "nelson",
            "name_suffix": "",
            "institution": "North Shore University Hospital, Department of Emergency Medicine, Manhasset, New York",
            "department": ""
        }
    ],
    "date_submitted": "2025-04-06T19:40:45.436000+02:00",
    "date_accepted": "2025-08-04T16:49:47.410000+02:00",
    "date_published": "2025-10-23T05:13:00+02:00",
    "render_galley": null,
    "galleys": [
        {
            "label": "PDF",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/47179/galley/40158/download/"
        }
    ]
}