Asano Y, Ishii K, Sagiuchi T, Aoki Y, Katsunuma E, Tokita N, Izumi T, Hayakawa K
Department of Radiology, Kitasato University School of Medicine.
Kaku Igaku. 2001 May;38(3):241-7.
We report a case of "Takotsubo" cardiomyopathy that was considered to be caused by hypercatecholaminemia due to mental stress. Myocardial scintigraphy using 123I-MIBG revealed severe damage to the myocardial sympathetic nerve terminals at the site of reduced left ventricular wall motion on left ventriculography. In this case, cardiac nuclear imaging with 123I-MIBG appeared to be useful for understanding the pathophysiology when combined with ECG and left ventriculography.
我们报告一例“应激性心肌病”,其被认为是由精神压力导致的高儿茶酚胺血症引起。使用123I - MIBG的心肌闪烁显像显示,在左心室造影中左心室壁运动减弱部位的心肌交感神经末梢有严重损伤。在该病例中,123I - MIBG心脏核素显像与心电图和左心室造影相结合时,似乎有助于理解其病理生理机制。