Takotsubo cardiomyopathy as a differential diagnosis of acute coronary syndrome: differences between clinical features

Detalhes bibliográficos
Autor(a) principal: Mendes, Isabella Pires Gomes
Data de Publicação: 2022
Outros Autores: Fonseca Neto, Olívio Joaquim, Santana, Breno Vítor Rodrigues Coqueiro, Souza, Juliano Luiz de, Viana, Brenda Larissa Andrade, Correia, Rafael Santos, Araujo, Heliton José Baquil, Krüger, Yasser da Silveira, Mendes, Érica de Araújo Silva, Moita, Antonino Neto Coelho
Tipo de documento: Artigo
Idioma: por
Título da fonte: Research, Society and Development
Texto Completo: https://rsdjournal.org/index.php/rsd/article/view/25514
Resumo: Objective: To demonstrate the importance of having Takotsubo Cardiomyopathy (TC) as a differential diagnosis for acute coronary syndrome (ACS), through the analysis of the clinical aspects of this condition. Methods: Integrative literature review that sought to answer the question "How is the diagnosis of patients with Takotsubo cardiomyopathy, differentiating from Acute Coronary Syndrome, based on the clinical presentation?", developed through the PICo strategy and whose articles were searched in the databases sources: Medical Literature and Retrieval System onLine (MEDLINE/PubMed®) via National Library of Medicine; Scientific Electronic Library Online (SciELO) and Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS). Results: Patients with TC were predominantly women, with a mean age between 60 and 70 years in more than 90% of the cases and they presented similarities to ACS, which presents a challenge in differentiating the two. The clinical pictures are similar due to the presence of chest pain and dyspnea, including changes in the ECG and cardiac biomarkers, in addition to presenting similar data on mortality and in-hospital complications. Electrocardiographic alterations, although present in both conditions, present different patterns. Conclusion: The two conditions, TC and ACS, have very similar clinical presentations, and the first should be investigated as a differential diagnosis of the second. For the differentiation of the two and diagnostic confirmation of Takotsubo cardiomyopathy, the Mayo criteria must be considered, through the help of complementary exams, such as electrocardiogram and echocardiography.
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spelling Takotsubo cardiomyopathy as a differential diagnosis of acute coronary syndrome: differences between clinical featuresMiocardiopatía de Takotsubo como diagnóstico diferencial del síndrome coronario agudo: diferencias entre características clínicasCardiomiopatia de Takotsubo como diagnóstico diferencial de síndrome coronariana aguda: diferenças entre os aspectos clínicosCardiomiopatia de TakotsuboSíndrome coronariana agudaDiagnóstico diferencialManifestações clínicas.Miocardiopatía de TakotsuboSíndrome coronario agudo;Diagnóstico diferencialManifestaciones clínicas.Takotsubo cardiomyopathyAcute coronary syndromeDifferential diagnosisClinical manifestations.Objective: To demonstrate the importance of having Takotsubo Cardiomyopathy (TC) as a differential diagnosis for acute coronary syndrome (ACS), through the analysis of the clinical aspects of this condition. Methods: Integrative literature review that sought to answer the question "How is the diagnosis of patients with Takotsubo cardiomyopathy, differentiating from Acute Coronary Syndrome, based on the clinical presentation?", developed through the PICo strategy and whose articles were searched in the databases sources: Medical Literature and Retrieval System onLine (MEDLINE/PubMed®) via National Library of Medicine; Scientific Electronic Library Online (SciELO) and Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS). Results: Patients with TC were predominantly women, with a mean age between 60 and 70 years in more than 90% of the cases and they presented similarities to ACS, which presents a challenge in differentiating the two. The clinical pictures are similar due to the presence of chest pain and dyspnea, including changes in the ECG and cardiac biomarkers, in addition to presenting similar data on mortality and in-hospital complications. Electrocardiographic alterations, although present in both conditions, present different patterns. Conclusion: The two conditions, TC and ACS, have very similar clinical presentations, and the first should be investigated as a differential diagnosis of the second. For the differentiation of the two and diagnostic confirmation of Takotsubo cardiomyopathy, the Mayo criteria must be considered, through the help of complementary exams, such as electrocardiogram and echocardiography.Objetivo: Demostrar la importancia de la Miocardiopatía de Takotsubo (TC) como diagnóstico diferencial del síndrome coronario agudo (SCA), a través del análisis de los aspectos clínicos de esta patología. Metodología: Revisión de la literatura integradora que buscó dar respuesta a la pregunta "¿Cómo se realiza el diagnóstico de pacientes con miocardiopatía de Takotsubo, diferenciando el Síndrome Coronario Agudo, de la presentación clínica?", Desarrollado a través de la estrategia PICo y cuyos artículos se buscaron en las fuentes de las bases de datos. : Sistema de Recuperación y Literatura Médica en Línea (MEDLINE / PubMed®️) a través de la Biblioteca Nacional de Medicina; Biblioteca Electrónica Científica en Línea (SciELO) y Literatura de Ciencias de la Salud de América Latina y el Caribe (LILACS). Resultados: Los pacientes con CT eran predominantemente mujeres, con una edad media entre 60 y 70 años en más del 90% de los casos y tenían similitudes con el SCA, representando un desafío para diferenciar los dos. Los cuadros clínicos son similares por la presencia de dolor torácico y disnea, incluyendo cambios en el ECG y biomarcadores cardíacos, además de presentar datos similares sobre mortalidad y complicaciones intrahospitalarias. Las alteraciones electrocardiográficas, aunque presentes en ambas condiciones, presentan patrones diferentes. Conclusión: Las dos condiciones, miocardiopatía de Takotsubo y síndrome coronario agudo, tienen presentaciones clínicas muy similares, y la primera debe ser investigada como diagnóstico diferencial de la segunda. Para la diferenciación de los dos y la confirmación diagnóstica de la miocardiopatía de Takotsubo, se deben considerar los criterios de Mayo, mediante la ayuda de los exámenes complementarios electrocardiograma y ecocardiografía.Objetivo: Demonstrar a importância de ter a Cardiomiopatia de Takotsubo (CT) como diagnóstico diferencial para síndrome coronariana aguda (SCA), através da análise dos aspectos clínicos dessa condição. Metodologia: Revisão integrativa de literatura que buscou responder a pergunta "Como é feito o diagnóstico dos pacientes com cardiomiopatia de Takotsubo, diferenciando da Síndrome Coronariana Aguda, a partir da apresentação clínica?”, desenvolvida através da estratégia PICo e cujos artigos foram pesquisados nas bases de dados: Medical Literature and Retrieval System onLine (MEDLINE/PubMed®) via National Library of Medicine; Scientific Electronic Library Online (SciELO) e Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS). Resultados: Os pacientes com CT eram predominantemente mulheres, com idade média entre 60 a 70 anos em mais de 90% dos casos e apresentavam semelhanças à SCA, o que se apresenta como um desafio na diferenciação entre as duas. Os quadros clínicos se assemelham pela presença de dor torácica e dispneia, incluindo alterações no ECG e nos biomarcadores cardíacos, além de poderem apresentar dados de mortalidade e complicações intra-hospitalares semelhantes. As alterações eletrocardiográficas, embora presente em ambas as condições, apresentam padrões distintos. Conclusão: As duas afecções, a cardiomiopatia de Takotsubo e a Síndrome Coronariana Aguda, possuem apresentações clínicas bastante semelhantes, devendo a primeira ser investigada como diagnóstico diferencial da segunda. Para a diferenciação das duas e confirmação diagnóstica da cardiomiopatia de Takotsubo, os critérios de Mayo devem ser contemplados, através do auxílio dos exames complementares eletrocardiograma e ecocardiografia.Research, Society and Development2022-01-18info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/2551410.33448/rsd-v11i2.25514Research, Society and Development; Vol. 11 No. 2; e8111225514Research, Society and Development; Vol. 11 Núm. 2; e8111225514Research, Society and Development; v. 11 n. 2; e81112255142525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIporhttps://rsdjournal.org/index.php/rsd/article/view/25514/22321Copyright (c) 2022 Isabella Pires Gomes Mendes; Olívio Joaquim Fonseca Neto; Breno Vítor Rodrigues Coqueiro Santana; Juliano Luiz de Souza; Brenda Larissa Andrade Viana; Rafael Santos Correia; Heliton José Baquil Araujo; Yasser da Silveira Krüger; Érica de Araújo Silva Mendes; Antonino Neto Coelho Moitahttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessMendes, Isabella Pires GomesFonseca Neto, Olívio JoaquimSantana, Breno Vítor Rodrigues Coqueiro Souza, Juliano Luiz deViana, Brenda Larissa Andrade Correia, Rafael SantosAraujo, Heliton José Baquil Krüger, Yasser da Silveira Mendes, Érica de Araújo Silva Moita, Antonino Neto Coelho 2022-02-07T01:42:50Zoai:ojs.pkp.sfu.ca:article/25514Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:43:46.717182Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false
dc.title.none.fl_str_mv Takotsubo cardiomyopathy as a differential diagnosis of acute coronary syndrome: differences between clinical features
Miocardiopatía de Takotsubo como diagnóstico diferencial del síndrome coronario agudo: diferencias entre características clínicas
Cardiomiopatia de Takotsubo como diagnóstico diferencial de síndrome coronariana aguda: diferenças entre os aspectos clínicos
title Takotsubo cardiomyopathy as a differential diagnosis of acute coronary syndrome: differences between clinical features
spellingShingle Takotsubo cardiomyopathy as a differential diagnosis of acute coronary syndrome: differences between clinical features
Mendes, Isabella Pires Gomes
Cardiomiopatia de Takotsubo
Síndrome coronariana aguda
Diagnóstico diferencial
Manifestações clínicas.
Miocardiopatía de Takotsubo
Síndrome coronario agudo;
Diagnóstico diferencial
Manifestaciones clínicas.
Takotsubo cardiomyopathy
Acute coronary syndrome
Differential diagnosis
Clinical manifestations.
title_short Takotsubo cardiomyopathy as a differential diagnosis of acute coronary syndrome: differences between clinical features
title_full Takotsubo cardiomyopathy as a differential diagnosis of acute coronary syndrome: differences between clinical features
title_fullStr Takotsubo cardiomyopathy as a differential diagnosis of acute coronary syndrome: differences between clinical features
title_full_unstemmed Takotsubo cardiomyopathy as a differential diagnosis of acute coronary syndrome: differences between clinical features
title_sort Takotsubo cardiomyopathy as a differential diagnosis of acute coronary syndrome: differences between clinical features
author Mendes, Isabella Pires Gomes
author_facet Mendes, Isabella Pires Gomes
Fonseca Neto, Olívio Joaquim
Santana, Breno Vítor Rodrigues Coqueiro
Souza, Juliano Luiz de
Viana, Brenda Larissa Andrade
Correia, Rafael Santos
Araujo, Heliton José Baquil
Krüger, Yasser da Silveira
Mendes, Érica de Araújo Silva
Moita, Antonino Neto Coelho
author_role author
author2 Fonseca Neto, Olívio Joaquim
Santana, Breno Vítor Rodrigues Coqueiro
Souza, Juliano Luiz de
Viana, Brenda Larissa Andrade
Correia, Rafael Santos
Araujo, Heliton José Baquil
Krüger, Yasser da Silveira
Mendes, Érica de Araújo Silva
Moita, Antonino Neto Coelho
author2_role author
author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Mendes, Isabella Pires Gomes
Fonseca Neto, Olívio Joaquim
Santana, Breno Vítor Rodrigues Coqueiro
Souza, Juliano Luiz de
Viana, Brenda Larissa Andrade
Correia, Rafael Santos
Araujo, Heliton José Baquil
Krüger, Yasser da Silveira
Mendes, Érica de Araújo Silva
Moita, Antonino Neto Coelho
dc.subject.por.fl_str_mv Cardiomiopatia de Takotsubo
Síndrome coronariana aguda
Diagnóstico diferencial
Manifestações clínicas.
Miocardiopatía de Takotsubo
Síndrome coronario agudo;
Diagnóstico diferencial
Manifestaciones clínicas.
Takotsubo cardiomyopathy
Acute coronary syndrome
Differential diagnosis
Clinical manifestations.
topic Cardiomiopatia de Takotsubo
Síndrome coronariana aguda
Diagnóstico diferencial
Manifestações clínicas.
Miocardiopatía de Takotsubo
Síndrome coronario agudo;
Diagnóstico diferencial
Manifestaciones clínicas.
Takotsubo cardiomyopathy
Acute coronary syndrome
Differential diagnosis
Clinical manifestations.
description Objective: To demonstrate the importance of having Takotsubo Cardiomyopathy (TC) as a differential diagnosis for acute coronary syndrome (ACS), through the analysis of the clinical aspects of this condition. Methods: Integrative literature review that sought to answer the question "How is the diagnosis of patients with Takotsubo cardiomyopathy, differentiating from Acute Coronary Syndrome, based on the clinical presentation?", developed through the PICo strategy and whose articles were searched in the databases sources: Medical Literature and Retrieval System onLine (MEDLINE/PubMed®) via National Library of Medicine; Scientific Electronic Library Online (SciELO) and Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS). Results: Patients with TC were predominantly women, with a mean age between 60 and 70 years in more than 90% of the cases and they presented similarities to ACS, which presents a challenge in differentiating the two. The clinical pictures are similar due to the presence of chest pain and dyspnea, including changes in the ECG and cardiac biomarkers, in addition to presenting similar data on mortality and in-hospital complications. Electrocardiographic alterations, although present in both conditions, present different patterns. Conclusion: The two conditions, TC and ACS, have very similar clinical presentations, and the first should be investigated as a differential diagnosis of the second. For the differentiation of the two and diagnostic confirmation of Takotsubo cardiomyopathy, the Mayo criteria must be considered, through the help of complementary exams, such as electrocardiogram and echocardiography.
publishDate 2022
dc.date.none.fl_str_mv 2022-01-18
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://rsdjournal.org/index.php/rsd/article/view/25514
10.33448/rsd-v11i2.25514
url https://rsdjournal.org/index.php/rsd/article/view/25514
identifier_str_mv 10.33448/rsd-v11i2.25514
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://rsdjournal.org/index.php/rsd/article/view/25514/22321
dc.rights.driver.fl_str_mv https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Research, Society and Development
publisher.none.fl_str_mv Research, Society and Development
dc.source.none.fl_str_mv Research, Society and Development; Vol. 11 No. 2; e8111225514
Research, Society and Development; Vol. 11 Núm. 2; e8111225514
Research, Society and Development; v. 11 n. 2; e8111225514
2525-3409
reponame:Research, Society and Development
instname:Universidade Federal de Itajubá (UNIFEI)
instacron:UNIFEI
instname_str Universidade Federal de Itajubá (UNIFEI)
instacron_str UNIFEI
institution UNIFEI
reponame_str Research, Society and Development
collection Research, Society and Development
repository.name.fl_str_mv Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)
repository.mail.fl_str_mv rsd.articles@gmail.com
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