Thread by @Manoj_Wickram

Another train the eye thread. This time - Takutsubos cardiomyopathy 🐙! #POCUS #askpocus #echofirst @iceman_ex @cianmcdermott @icmteaching @load_dependent @daniel_opazo @KalagaraHari @DRsonosRD @tsquaredmd @coreultrasound @IMPOCUSFocus @nick_wroe @askpocus @The_echo_lady

Also known as stress induced cardiomyopathy/takutsubos syndrome/broken heart syndrome

https://twitter.com/manoj_wickram/status/1344939071798390784

Classically you get apical ballooning and akinesis with basal preservation.

https://twitter.com/ozlembilen2/status/1281633360998170625

Takutsubos is typically associated with a significant emotional or physical trigger.

https://twitter.com/shariqshamimmd/status/1215841191691878400

Thought to be linked to a sudden surge in catecholamines.

https://twitter.com/powelljose/status/983726647432986624

Whilst Takutsubos is a non ischaemic cardiomyopathy and self resolves - it is important to rule out occlusive MI.

https://twitter.com/josetaverasmd/status/983874576500314112

Beautiful example from @NephroP

https://twitter.com/nephrop/status/1349486369391915008

See the pattern?

https://twitter.com/cyntiamachain/status/1329074974615695366

Oh, it can also be in reverse pattern - reverse Takutsubos

https://twitter.com/ydaryani/status/1294762754700705793

And just to confuse you even more - you can get biventricular Takutsubos

https://twitter.com/patonrubio/status/1354178189233442817

Finally, don’t forget to look for LV thrombus whenever you have apical akinesis/severe LV impairment!

https://twitter.com/groupcardiology/status/1298059385588064256

This is a reverse Takutsubos ^

Takotsubos* for the entire thread!