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1例与吉兰-巴雷综合征相关的急性心力衰竭病例。

A case of acute heart failure associated with Guillain-Barré syndrome.

作者信息

Palazzuoli A, Lenzi C, Iovine F, Carrera A, Nuti R

机构信息

Institute of Internal Medicine and Metabolic Diseases, Section of Cardiology, Ospedale Le Scotte, University of Siena, Italy.

出版信息

Neurol Sci. 2006 Feb;26(6):447-50. doi: 10.1007/s10072-006-0531-0.

Abstract

Guillain-Barré syndrome (GBS) is a disease of the peripheral nervous system, which is caused by aberrant immune responses directed against some components of peripheral nerves. GBS is rarely accompanied by cardiovascular involvement. We describe a case of acute neuropathy complicated by sudden heart failure and left ventricular dysfunction which had a presumably neurogenic origin. Pathogenesis of acute heart failure is probably due to transitorial stunned myocardium and neurogenic cardiac injury. We show a rare case of transitorial and acute cardiac dysfunction by echocardiography and laboratory markers of heart failure.

摘要

吉兰-巴雷综合征(GBS)是一种周围神经系统疾病,由针对周围神经某些成分的异常免疫反应引起。GBS很少伴有心血管受累。我们描述了一例急性神经病变并发急性心力衰竭和左心室功能障碍的病例,其病因可能为神经源性。急性心力衰竭的发病机制可能是短暂性心肌顿抑和神经源性心脏损伤。我们通过超声心动图和心力衰竭实验室指标展示了一例罕见的短暂性急性心脏功能障碍病例。

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