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    Tako Tsubo

    Uploaded by

    alo.val060201
    Defecto cardíaco

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Tako Tsubo

    Uploaded by

    alo.val060201
    1 views26 pages
    Defecto cardíaco

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

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    Defecto cardíaco

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    1 views26 pages

    Tako Tsubo

    Uploaded by

    alo.val060201
    Defecto cardíaco

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 26

    B ROK E N

    HE AR
    D
    T
    ROME
    SYN
    WH AT IS
    IT ??

    Broken heart or also


    called <<TAKOTSUBO>> It
    occurs when the Left
    Ventricle, the main
    chamber of the heart that
    pumps Oxygenated blood,
    weakens.
    WHY IS
    IT
    CALLED
    THAT
    WAY?
    TAKOTSUBO

    I n J a p a n ese t a k o m e a ns
    "oc t o p u s " a n d t s u b o m e a n s
    " c o n t a i n er. "

    T h e b r o k en heart shape
    resembl e s a n o c t o p u s t r a p u s e d
    b y J a p a n e s e f i s h e r m e n . .
    HOW
    COMMON
    IS IT?
    Who can get it?
    It usually
    affects women
    in 90% of the
    cases.

    The average age


    is between 58
    and 75 years
    old.

    More common
    in Asians.

    It accounts
    for only 1% of
    Coronary
    Syndromes.
    RISK FACTOR
    S

    CAUSES
    T R E S S O R :
    EXTREME S
    E M O T I O N A L

    Death of a loved
    one

    Domestic Abuse

    Surprise/Scares

    Extreme
    Fear/Terror
    T R E S S O R :
    R E M E S
    EXT I C A L
    PHY S

    Asthma attack

    Strenuous exertion

    Atrial fibrillation

    Pneumothorax

    Hypertension
    SI GN S &
    SYM PT OM S
    CLINIC
    Sudden chest pain

    Dyspnea

    Weariness

    Syncope
    Emotional/
    physical
    stress
    that
    triggered
    the
    condition
    These symptoms are
    similar to a HEART
    ATTACK, so if you
    experience these
    symptoms, call an
    ambulance
    immediately.
    DI AG NO S T IC
    E VA LU ATIO N
    INITIA L
    TEST ING :

    O CARD IOGRAM
    EL ECTR
    (ECG)
    ST segment elevations,
    usually in the
    precordial leads.

    ST segment depressions

    QT prolongation

    T wave inversions
    INITIA L
    TEST ING :

    C AR DIA C
    EN ZY M ES
    Troponin
    ↑ In most cases,
    BUT NOT AS HIGH
    AS an AMI

    Brain natriuretic
    peptide (BNP)
    ↑ In most cases,
    but not required
    for diagnosis
    INITIA L
    TEST ING :
    ARDIOGRAPHY
    ECHOC
    Should be done in all
    patients with suspected
    takotsubo cardiomyopathy.

    Demonstrates regional
    wall-motion abnormalities
    and systolic dysfunction.

    May reveal LVOT


    obstruction

    Evaluates for a thrombus


    in the ventricle
    CRI
    DIAGNÓSTIC TERIA
    DIAGNOSTIC

    CRITERIA
    Transient left ventricular
    systolic dysfunction
    (hypokinesis, akinesis, or
    dyskinesis) observed on
    echocardiogram.

    Absence of obstructive
    coronary disease or acute
    plaque rupture observed on
    coronary angiography.

    New electrocardiogram
    abnormalities observed on
    ECG or modest elevation in
    cardiac troponin.

    Absence of pheochromocytoma
    or myocarditis.
    DIFFERENCIAL

    DIA GNOSIS
    DIAG N OS IS
    DIFF ERE NT IAL
    Acute Myocardial
    Infarction

    Acute Coronary
    Syndrome
    In STT there is no
    blockage of the
    coronary arteries.

    Myocarditis

    Cocaine-
    Associated
    Coronary
    Syndrome
    NT
    ME
    ITI AL
    G E
    IN
    N A
    M A
    TREATMENT

    Resolve and prevent


    stressors.

    Treat heart failure.


    Beta blockers.
    Angiotensin-converting
    enzyme (ACE)
    inhibitors.
    Diuretics, if there is
    evidence of volume
    overload.

    Anticoagulation in
    patients with LVEF <30% to
    prevent thromboembolism.

    Follow-up echocardiogram.
    PR OGNOSIS

    Most patients will


    have a complete
    resolution within a
    couple of weeks.

    In-hospital mortality ranges


    from 0%‒8%.
    THA NK YO U
    FOR
    WATC HI NG
    N THE NEXT
    SEE YOU I
    VIDEO
    RE FER ENCES

    1. https://www.elsevier.es/es-revista-
    medicina-familia-semergen-40-articulo-
    sindrome-tako-tsubo-discinesia-
    transitoria-del-S1138359313000257
    2. Zazueta-Armenta V, González-Orozco JA,
    Ornelas-Aguirre JM, Félix-Córdova JA.
    Clinical characteristics of takotsubo
    syndrome: a series of cases. Arch Cardiol
    Mex. 2023;93(2):203-211. English. doi:
    10.24875/ACM.21000407. PMID: 37037221;
    PMCID: PMC10161822.
    3. Zazueta-Armenta V, González-Orozco JA,
    Ornelas-Aguirre JM, Félix-Córdova JA.
    Clinical characteristics of takotsubo
    syndrome: a series of cases. Arch Cardiol
    Mex. 2023;93(2):203-211. English. doi:
    10.24875/ACM.21000407. PMID: 37037221;
    PMCID: PMC10161822.
    4. Oiseth, S., Jones, L., & Guia, E. M.
    (2022, April 19). Miocardiopatía de
    Takotsubo. Lecturio.
    https://www.lecturio.com/es/concepts/mioca
    rdiopatia-de-takotsubo/
    5. St Vincent’s Heart Health. (2018). St
    Vincent’s heart health.
    https://www.svhhearthealth.com.au/conditio
    ns/takotsubo-cardiomyopathy
    BR OK EN
    HEA RT SYNDROME

    EQUIPO 31:
    CASANDRA IVONNE MARTÍNEZ
    BALDERAS
    ALONDRA MARTÍNEZ VALDÉS
    JOCELYN JEAN RAMÍREZ
    MOSQUEDA

    ASESORES:
    DR. MANUEL JOSÉ RIVERA
    CHÁVEZ
    MPSS SHEILA ESTEFANÍA
    MÁRQUEZ RODRÍGUEZ

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