{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,9,16]],"date-time":"2024-09-16T16:43:07Z","timestamp":1726504987208},"reference-count":14,"publisher":"California Digital Library (CDL)","issue":"2","license":[{"start":{"date-parts":[[2020,3,2]],"date-time":"2020-03-02T00:00:00Z","timestamp":1583107200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>This is a novel case report of a 44-year-old woman who presented to the emergency department with epigastric pain wrapping around to her back. She had no risk factors for cardiac disease, but her initial electrocardiogram (ECG) showed a Wellens syndrome pattern and she was taken urgently to the catheterization lab. After a negative catheterization, she underwent cardiac magnetic resonance imaging, which was positive for Takotsubo cardiomyopathy (TC). Ultimately, abdominal computed tomography revealed that she had cholecystitis, which likely was the cause of her TC and ECG changes.<\/jats:p>","DOI":"10.5811\/cpcem.2020.1.45474","type":"journal-article","created":{"date-parts":[[2020,5,5]],"date-time":"2020-05-05T22:20:29Z","timestamp":1588717229000},"page":"137-141","source":"Crossref","is-referenced-by-count":0,"title":["An Early Holiday Surprise: Cholecystitis Wrapped in Takotsubo Cardiomyopathy"],"prefix":"10.5811","volume":"4","author":[{"given":"Kevin","family":"Gould","sequence":"first","affiliation":[{"name":"Virginia Commonwealth University, Department of Emergency Medicine, Richmond, Virginia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephen","family":"Miller","sequence":"additional","affiliation":[{"name":"Virginia Commonwealth University, Department of Emergency Medicine, Richmond, Virginia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joel","family":"Moll","sequence":"additional","affiliation":[{"name":"Virginia Commonwealth University, Department of Emergency Medicine, Richmond, Virginia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"29705","published-online":{"date-parts":[[2020,3,2]]},"reference":[{"key":"ref0","doi-asserted-by":"publisher","unstructured":"Akashi YJ, Goldstein DS, Barbaro G, et al. Takotsubo cardiomyopathy \u2013 a new form of acute reversible heart failure. Circulation. 2008;118(25):2754-62.","DOI":"10.1161\/circulationaha.108.767012"},{"key":"ref1","doi-asserted-by":"crossref","unstructured":"Templin C, Ghadri JR, Napp LC, et al. Clinical features and outcomes of Takotsubo (stress) cardiomyopathy. N Engl J Med. 2015;373(10):929-38.","DOI":"10.1056\/NEJMoa1406761"},{"key":"ref2","doi-asserted-by":"publisher","unstructured":"Bruyninckx R, Aertgeerts B, Bruyninckx P, et al. Signs and symptoms in diagnosing acute myocardial infarction and acute coronary syndrome: a diagnostic meta-analysis. Br J Gen Pract. 2008;58(547):105-11.","DOI":"10.3399\/bjgp08x277014"},{"key":"ref3","doi-asserted-by":"publisher","unstructured":"Canto JG, Shlipak MG, Rogers WJ, et al. Prevalence, clinical characteristics, and mortality among patients with myocardial infarction presenting without chest pain. JAMA. 2000;283(24):3223-9.","DOI":"10.1001\/jama.283.24.3223"},{"key":"ref4","doi-asserted-by":"publisher","unstructured":"Pope JH, Aufderheide TP, Ruthazer R, et al. Missed diagnosis of acute cardiac ischemia in the emergency department. N Engl J Med. 2000;342(16):1163-70.","DOI":"10.1056\/nejm200004203421603"},{"key":"ref5","unstructured":"Miner B and Hart EH.  Wellens\u2019 syndrome. Stat Pearls. 2019. Available at:  Https:\/\/www.ncbi.nlm.nih.gov\/books\/nbk482490. Accessed June 29, 2019."},{"key":"ref6","doi-asserted-by":"publisher","unstructured":"Deshmukh A, Kumar G, Pant S, et al. Prevalence of Takotsubo cardiomyopathy in the United States. Am Heart J. 2012;164(1):66-71.e1.","DOI":"10.1016\/j.ahj.2012.03.020"},{"key":"ref7","unstructured":"Sato H, Tateishi H, Uchida T, et al. (1990). Takotsubo type cardiomyopathy due to multivessel spasm. In: Kodama K, Haze K, Hon M, editors. Clinical aspect of myocardial injury: from ischemia, to heart failure (pp. 56-64). Kagaku Hyoronsha; Tokyo."},{"key":"ref8","doi-asserted-by":"publisher","unstructured":"Isumo M and Akashi YJ. Role of echocardiography for Takotsubo cardiomyopathy: clinical and prognostic implications. Cardiovasc Diagn Ther. 2018;8(1):90-100.","DOI":"10.21037\/cdt.2017.07.03"},{"key":"ref9","doi-asserted-by":"publisher","unstructured":"Paur H, Wright PT, Sikkel MB, et al. High levels of circulating epinephrine trigger apical cardiodepression in a B2-adrenergic receptor \/ GI-dependent manner: a new model of Takotsubo cardiomyopathy. Circulation. 2012;126(6):697-706.","DOI":"10.1161\/circulationaha.112.111591"},{"key":"ref10","doi-asserted-by":"publisher","unstructured":"Pelliccia F, Kaski JC, Crea F, et al. Pathophysiology of Takotsubo syndrome. Circulation. 2017;135(24):2426-41.","DOI":"10.1161\/circulationaha.116.027121"},{"key":"ref11","doi-asserted-by":"publisher","unstructured":"Di Vece D, Citro R, Cammann VL, et al. Outcomes associated with cardiogenic shock in Takotsubo syndrome. Circulation. 2019;139(3):413-5.","DOI":"10.1161\/circulationaha.119.040783"},{"key":"ref12","doi-asserted-by":"publisher","unstructured":"De Backer O, Debonnaire P, Gevaert S, et al. Prevalence, associated factors and management implications of left ventricular outflow tract obstruction in Takotsubo cardiomyopathy: a two-year, two-center experience. BMC Cardiovasc Disord. 2014;14:147.","DOI":"10.1186\/1471-2261-14-147"},{"key":"ref13","doi-asserted-by":"publisher","unstructured":"Bruenjes JD, Vallabhajosyula S, Vacek CJ, et al. Acute pancreatitis-induced Takotsubo cardiomyopathy in an African American male. ACG Case Rep J. 2015;3(1):53-6.","DOI":"10.14309\/crj.2015.99"}],"container-title":["Clinical Practice and Cases in Emergency Medicine"],"original-title":[],"deposited":{"date-parts":[[2020,7,20]],"date-time":"2020-07-20T20:37:21Z","timestamp":1595277441000},"score":1,"resource":{"primary":{"URL":"https:\/\/escholarship.org\/uc\/item\/81s0p1k7"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,3,2]]},"references-count":14,"issue-title":["Clinical Practice and Cases in Emergency Medicine"],"journal-issue":{"issue":"2","published-online":{"date-parts":[[2020,4,1]]}},"URL":"https:\/\/doi.org\/10.5811\/cpcem.2020.1.45474","relation":{},"ISSN":["2474-252X","2474-252X"],"issn-type":[{"type":"electronic","value":"2474-252X"},{"type":"print","value":"2474-252X"}],"subject":[],"published":{"date-parts":[[2020,3,2]]}}}