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A 67-year-old woman with chest pain, shortness of breath, and electrocardiogram changes pre- sented to the emergency department. Her care is described in terms of differentiating her diagnosis of takotsubo cardiomyopathy from acute myocardial infarction. Prompt recognition, distinguish- ing features, and advanced practice nursing management are described herein. The impor- tance of astute nursing interventions is also emphasized in this article on takotsubo cardiomyopathy. Key words: acute myocardial infarction, left ventricular dysfunction, stress-induced cardiomyopa- thy, takotsubo A CASE STUDY clear throughout lung the fields; her abdomen was soft and nontender with normoactive A 67-year-old woman with complaints of bowel sounds in all four quadrants; her ex- shortness of breath and chest pain for the last tremities were warm without edema; and she several hours presented in the emergency de- had strong, equal palpable pulses through- partment (ED) by ambulance. She appeared out. Her vital signs included blood pressure anxious and reported a medical history of hy- 149/72 mmHg, heart rate 98 beats/min, res- pertension and hypercholesterolemia. The pa- piratory rate 26 breaths/min, temperature tient denied having diabetes mellitus, prior or 98.5 F tympanic, and pulse oximetry 92% on current smoking, and a family history of heart room air. An
Advanced Emergency Nursing Journal – Wolters Kluwer Health
Published: Jan 1, 2010
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