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The pericardium is a two-layered sac that encircles the heart ( Fig. 56.1 ). The visceral pericardium is a mesothelial monolayer that adheres to the epicardium. It is reflected back on itself at the level of the great vessels, where…

Stress-induced cardiomyopathy, also called Takotsubo cardiomyopathy, represents a syndrome of transient left ventricular (LV) dysfunction from a variety of psychological or physiological stressors. Patients in the critical care setting are particularly vulnerable, but ambulatory patients subject to severe emotional distress…