The pivotal role of a pre-admission electrocardiogram for the diagnosis of Takotsubo syndrome in the ED☆
John E. Madias, MD
Icahn School of Medicine at Mount Sinai, New York, NY, USA
Division of Cardiology, Elmhurst Hospital Center, Elmhurst, NY 11373, USA
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Fig
Analysis of the ECG as in the text. (Reproduced from Fig. 1 of Ref. 7, with the permission of Elsevier).
Prompt differentiation of Takotsubo syndrome (TTS) from acute coronary syndromes (ACS) is crucial in the management of patients presenting with chest pain/dyspnea/palpitations/weakness/dizziness/presyncope/syncope in the emergency department (ED), since it is imperative that the latter receive expedited therapy with thrombolysis or percutaneous coronary interventions, while the former are cared for along the lines of symptomatic nonspecific management, until we know more about the pathogenesis of TTS [1].
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☆Conflict of interest: None declared.
© 2012 Published by Elsevier Inc.
