All right, so welcome back to the Internet Book of Critical Care podcast. I'm here with Adam Thomas,

and we're going to talk about Taco Sugo Cardiomyopathy. The old octopus trap is coming back. I think

we get so excited in medical school. We were just having a conversation about this offline, Josh,

that this is probably more common, but we've

seen it under different names before, isn't it? Exactly. Yeah. So all those patients that we

call like sepsis-induced cardiomyopathy or patients with subaractoid hemorrhage and T-wave

inversions, a lot of stuff that, especially like, you know, toxic shock patients, you know,

a lot of those folks probably arguably could have taco superkarymopathy. So today we'll cover pathophysiology, epidemiology, as per usual, but we'll get deep

in the nitty-gritty about how to go looking for this, how to work it up, not forgetting the

differential, and then more importantly, how to manage these patients. So straight into it, Josh,

the pathophys. It's a watershed area. Is this an occlusion and acute coronary syndrome or what's going on here? sort of a catacolminergic phenomenon where there's just too much beta adrenergic simulation and possibly the apex may have the most epinephrine receptors, the most beta receptors.

So that may be kind of the core of what's going on.

There's more to this, of course, but I don't know.

Makes sense to me because if you think about the patient populations that we see this most

prevalent in, very similar what's going on with them. Huge catacolamine surges. Exactly.

So epidemiology, I think this is rare. Change my mind. Yeah. So there are two general

presentations of taco supercaromyophtomyopty. So one is someone presenting to the hospital with

Taco Subo Syndrome. And the other is like a secondary Taco Subo Syndrome. So someone comes into

the ICU oftentimes for some other problem like subaractant

hemorrhage or septic shock or, you know, some sort of catastrophic illness and they get

coincidental or subsequent taco Subo Cardiomyomyomyomyomy.

That second presentation is probably very common.

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