|
1
|
Lezzi P, Lupo R, Cimarelli N, Conte L, De Nunzio G, Botti S, Calcagnile A, Del Coco C, Calabro A, Rubbi I, Carvello M, Vitale E. Clinical Features of Takotsubo Syndrome and Its Differential Diagnostic Criteria in Clinical Nursing Practice: A Review of the Literature. Curr Cardiol Rep 2023; 25:841-850. [PMID: 37466761 PMCID: PMC10403421 DOI: 10.1007/s11886-023-01905-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 06/08/2023] [Indexed: 07/20/2023]
Abstract
PURPOSE OF REVIEW Takotsubo cardiomyopathy (TCM) is a heart disease that mimics the symptoms of a myocardial infarction (MI). The exact cause of TCM is unknown, but the main theory is that the syndrome is triggered by an excessive release of catecholamines, a consequence of factors related to stress or severe emotional distress. The aim of this review is to summarize the various scientific journal articles on the nursing differential diagnosis of TCM, on the specific nurse training (particularly the role of the Advanced Practice Nurse, APN), and on the nursing educational support for the patient after hospital discharge. RECENT FINDINGS A literature review was conducted on Medline (via PubMed), Web of Science (WoS), Scopus, and Google Scholar databases. Relevant indexed articles that investigated the elements characterizing TCM in nursing differential diagnosis and the role of the APN were identified. RESULTS Sixteen studies were included in the review; they highlighted the role of the nurse in identifying and educating patients with TCM. Nurses must have a thorough understanding of the syndrome, the onset symptoms, the unusual characteristics, and the probable etiology of TCM in order to recognize and promptly treat patients affected by this syndrome and have the opportunity to educate them after hospital discharge to reduce the possibility of recurrence.
Collapse
Affiliation(s)
- Pierluigi Lezzi
- 'Veris Delli Ponti' Hospital, ASL (Local Health Authority), Scorrano, Italy
| | - Roberto Lupo
- San Giuseppe da Copertino Hospital', Local Health Authority Lecce, Lecce, Italy
| | | | - Luana Conte
- Laboratory of Biomedical Physics and Environment, Department of Mathematics and Physics "E. De Giorgi", University of Salento, Lecce, Lecce, Italy
- Laboratory of Interdisciplinary Research Applied to Medicine (DReAM), University of Salento and ASL (Local Health Authority) Lecce, Lecce, Italy
| | - Giorgio De Nunzio
- Laboratory of Biomedical Physics and Environment, Department of Mathematics and Physics "E. De Giorgi", University of Salento, Lecce, Lecce, Italy.
- Laboratory of Interdisciplinary Research Applied to Medicine (DReAM), University of Salento and ASL (Local Health Authority) Lecce, Lecce, Italy.
| | - Stefano Botti
- Hematology Unit, Azienda USL-IRCCS, Reggio Emilia, Italy
| | | | - Ciro Del Coco
- San Giuseppe da Copertino Hospital', Local Health Authority Lecce, Lecce, Italy
| | - Antonino Calabro
- Nuovo Ospedale Degli Infermi' Hospital, ASL (Local Health Authority), Biella, Italy
| | - Ivan Rubbi
- School of Nursing, University of Bologna, Bologna, Italy
| | - Maicol Carvello
- Community Hospital', ASL (Local Health Authority) of Romagna, Ravenna, Italy
| | - Elsa Vitale
- Department of Mental Health, ASL (Local Health Authority), Bari, Italy
| |
Collapse
|
|
2
|
El-Hussein MT, Kilfoil L. The Story of a Broken Heart: Takotsubo Cardiomyopathy. J Emerg Nurs 2021; 47:635-642. [PMID: 33722401 DOI: 10.1016/j.jen.2020.12.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2020] [Revised: 12/23/2020] [Accepted: 12/26/2020] [Indexed: 10/21/2022]
Abstract
Licensed independent practitioners in emergency clinical practice are tasked with differentiating acute cardiac presentations. Despite its similarity in clinical presentation to acute coronary syndrome, Takotsubo cardiomyopathy is a unique cardiac disorder characterized by a stress-induced ballooning of the myocardium. Also known as the broken heart syndrome, Takotsubo cardiomyopathy most frequently occurs after an overwhelming emotional or physical stressor. The subsequent impaired contractility of the heart places the patient at risk of complications, including acute heart failure, cardiogenic shock, thromboembolism, arrhythmias, and left ventricular outflow obstruction. Takotsubo cardiomyopathy is similar in presentation to other cardiac disorders; therefore, clinicians in emergency settings must be efficient and effective in their diagnosis of this disorder on the basis of its distinct criteria. The current article uses most recent evidence to describe the etiology, pathophysiology, diagnosis, and recommended treatment for Takotsubo cardiomyopathy to support licensed independent practitioners in emergency departments in improving patient outcomes and reducing morbidity.
Collapse
|