Maruyama Shinsuke, Nomura Yuichi, Fukushige Toshiro, Eguchi Taisuke, Nishi Jun-Ichiro, Yoshinaga Masao, Kawano Yoshifumi
Division of Pediatrics, Graduate School of Medical and Dental Sciences, Kagoshima University, Sakuragaoka, Japan.
Circ J. 2006 Apr;70(4):509-11. doi: 10.1253/circj.70.509.
A 2-year-old Japanese girl had transient left ventricular apical ballooning on echocardiography and ST-segment elevation and T-wave inversion on electrocardiogram after withdrawal of bupirenorphine and midazolam. The findings improved within 2 weeks. There are many case reports of adults with takotsubo cardiomyopathy but none in children. Takotsubo cardiomyopathy is not well known by pediatric cardiologists, so pediatric cases may have been overlooked. Awareness of a phenomenon similar to takotsubo cardiomyopathy, even in young children, may be important.
一名2岁日本女孩在停用丁丙诺啡和咪达唑仑后,超声心动图显示左心室心尖部短暂气球样改变,心电图显示ST段抬高和T波倒置。这些表现2周内有所改善。有许多关于成人应激性心肌病的病例报告,但儿童病例尚无报道。小儿心脏病专家对应激性心肌病了解不多,因此儿童病例可能被忽视了。即使在幼儿中,认识到与应激性心肌病相似的现象可能也很重要。