J Acute Care Surg.  2018 Apr;8(1):30-32. 10.17479/jacs.2018.8.1.30.

Takotsubo Syndrome Resulting from Traumatic Multiple Rib Fractures

• Jung YJ
• Kim SW
• Choi JH

• KMID: 2434953
• DOI: http://doi.org/10.17479/jacs.2018.8.1.30

Abstract

Takotsubo syndrome, also known as stress-induced cardiomyopathy, is a transient cardiac syndrome that mimics acute coronary syndrome. This condition should be suspected if the patient presents with chest pain after intense emotional stress, accompanied by an abnormal electrocardiogram, elevated levels of myocardial enzymes, and left ventricular apical akinesia on echocardiography. Coronary angiography should be performed for prompt differentiation from ischemic heart disease. A 77-year-old female presented with traumatic multiple fractures of the left sixth and seventh ribs resulting from a violent strike. Clinical findings of physical examination, laboratory tests, electrocardiogram, and coronary angiography provided the diagnosis of Takotsubo syndrome. We performed conservative management including pain control, and the patient was uneventfully discharged seven days after admission.

Keyword

Takotsubo cardiomyopathy; Trauma; Rib fractures

MeSH Terms

Acute Coronary Syndrome
Aged
Cardiomyopathies
Chest Pain
Coronary Angiography
Diagnosis
Echocardiography
Electrocardiography
Female
Fractures, Multiple
Humans
Myocardial Ischemia
Physical Examination
Rib Fractures*
Ribs*
Stress, Psychological
Strikes, Employee
Takotsubo Cardiomyopathy*