Takotsubo cardiomyopathy: Considerations for nursing practice

Inggs, Rebecca & Christensen, Martin (2015) Takotsubo cardiomyopathy: Considerations for nursing practice. Singapore Nursing Journal, 42(2), pp. 17-22.

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Abstract

Takotsubo cardiomyopathy is the result of morphological and compensatory changes that occur in the left ventricle. Typically presenting in post-menopausal women, Takotsubo cardiomyopathy is a non-ischemic cardiomyopathy where there is a sudden weakening of the myocardium often caused by extreme emotional, physical and environmental stress as a result of a catecholamine surge. Diagnosis is made based on electrocardiographic and enzymatic changes, similar to those of an acute myocardial infarction - T wave inversion in all precordial and chest leads, ST-elevation in V1 and V3 with Q waves in V2 and V4, a prolonged QT-interval and a moderate elevation in Troponin T. While medical treatment is aimed at drug therapy with the use of Beta-Blockers, ACE Inhibitor drugs and Diuretics, nursing care is focused on supporting the patient through the acute stages of cardiac failure both physically and emotionally and also through ongoing education around the identification of stress triggers to reduce its incidence.

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ID Code: 96520
Item Type: Journal Article
Refereed: Yes
Additional URLs:
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > NURSING (111000) > Clinical Nursing - Secondary (Acute Care) (111003)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Nursing
Copyright Owner: 2015 Singapore Nurses Association
Deposited On: 04 Jul 2016 23:00
Last Modified: 12 Jul 2016 04:11

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