RESUMEN
Takotsubo cardiomyopathy, also known as stress-induced cardiomyopathy, left ventricular apical ballooning syndrome, and broken heart syndrome, is a clinical entity first described in the early 1990s in Japan and now receiving increased attention in the United States. The clinical features include an onset of chest pain mimicking that of an acute myocardial infarction, electrocardiogram changes similar to those of an acute myocardial infarction, normal coronary arteries on cardiac catheterization, and a signature appearance on echocardiogram. Takotsubo cardiomyopathy results in a significantly decreased ejection fraction that, as long as the patient receives appropriate hemodynamic support, typically undergoes spontaneous reversal. This article describes the history, clinical presentation, and management strategies for Takotsubo cardiomyopathy and provides a case study.
Asunto(s)
Cardiomiopatía de Takotsubo/diagnóstico , Anciano , Estimulación Cardíaca Artificial , Femenino , Humanos , Factores de Riesgo , Volumen Sistólico , Cardiomiopatía de Takotsubo/etiología , Cardiomiopatía de Takotsubo/terapiaRESUMEN
In an effort to improve patient outcomes, there has been a global initiative to prevent avoidable adverse events. The rapid response team or medical emergency team concept has been in existence for the past several years and there has been a significant improvement in patient outcomes. This article will describe one institution's success in taking this concept even further by rounding on general care units before patient problems are evident. The focus of this discussion will be on the remarkably positive nursing staff outcomes that have been achieved as a result of a program called the Early Nursing Intervention Team, a totally nurse-led program.