The Internet Book of Critical Care Podcast IBCC Episode 82 - Takotsubo Cardiomyopathy
16 snips
Jun 1, 2020 AI Snips
Chapters
Transcript
Episode notes
Hidden Diagnosis
- Takotsubo cardiomyopathy, formerly recognized under different names (septic, toxic shock), is more common than initially thought.
- Previously, it was misdiagnosed as other conditions.
Presentation Types
- Takotsubo cardiomyopathy presents in two ways: primary (presenting symptom) or secondary (occurring during another illness).
- Secondary Takotsubo, seen in up to 20% of ICU patients, is likely more common.
ICU Considerations
- Consider Takotsubo cardiomyopathy in ICU patients with decreased ejection fraction, especially post-cardiac arrest or with conditions like sepsis and respiratory failure.
- These conditions often involve significant catecholamine surges, mirroring Takotsubo's pathophysiology.