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Takotsubo Cardiomyopathy Implications for Nursing Practice

Takotsubo Cardiomyopathy Implications for Nursing Practice 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 http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Advanced Emergency Nursing Journal Wolters Kluwer Health

Takotsubo Cardiomyopathy Implications for Nursing Practice

Advanced Emergency Nursing Journal , Volume 32 (1) – Jan 1, 2010

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Copyright
© 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins
ISSN
1931-4485
eISSN
1931-4493
DOI
10.1097/TME.0b013e3181cb75b6

Abstract

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

Journal

Advanced Emergency Nursing JournalWolters Kluwer Health

Published: Jan 1, 2010

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