{"pk":515,"title":"Takotsubo Cardiomyopathy in the Emergency Department: A FOCUS Heart Breaker","subtitle":null,"abstract":"Takotsubo cardiomyopathy (TCM) is an important condition for the emergency physician to consider in patients with cardiovascular symptoms. A70-year-old woman presented with chest pain and nausea following emotional trauma. She had an elevated troponin and a normal electrocardiogram (ECG) with no history of previous cardiac disease. Point-of-care focused cardiac ultrasound (FOCUS) showed reduced left ventricular systolic function with mid to apical hypokinesis. Cardiac catheterization revealed clean coronary arteries and confirmed the suspected diagnosis of TCM. Few reports emphasize the importance of FOCUS in the diagnosis and management of TCM in the emergency department. We detail FOCUS findings that assisted with diagnosis of TCM and describe how this quick, noninvasive imaging modality can be used to assess and manage emergent conditions.","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":[],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/1pw2k0ph","frozenauthors":[{"first_name":"Kristin","middle_name":"","last_name":"Meigh","name_suffix":"","institution":"West Virginia University School of Medicine, Morgantown, West Virginia","department":"None"},{"first_name":"Madison","middle_name":"","last_name":"Caja","name_suffix":"","institution":"West Virginia University School of Medicine, Morgantown, West Virginia","department":"None"},{"first_name":"Melinda","middle_name":"","last_name":"Sharon","name_suffix":"","institution":"West Virginia University, Department of Emergency Medicine, Morgantown, West Virginia","department":"None"},{"first_name":"Allison","middle_name":"","last_name":"Tadros","name_suffix":"","institution":"West Virginia University, Department of Emergency Medicine, Morgantown, West Virginia","department":"None"},{"first_name":"Shane","middle_name":"","last_name":"Dragan","name_suffix":"","institution":"West Virginia University, Department of Emergency Medicine, Morgantown, West Virginia","department":"None"},{"first_name":"David","middle_name":"","last_name":"Henkel","name_suffix":"","institution":"West Virginia University, Department of Emergency Medicine, Morgantown, West Virginia","department":"None"},{"first_name":"Joseph","middle_name":"","last_name":"Minardi","name_suffix":"","institution":"West Virginia University, Department of Emergency Medicine, Morgantown, West Virginia\nWest Virginia University, Department of Medical Education, Morgantown, West Virginia","department":"None"}],"date_submitted":"2018-03-14T11:56:27-04:00","date_accepted":"2018-03-14T11:56:27-04:00","date_published":"2018-04-05T14:11:48-04:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uciem_cpcem/article/515/galley/278/download/"}]}