Kitaoka Toru, Ogawa Yuji, Kato Junichi, Shiokoshi Takahiro, Ota Takafumi, Harada Takayuki, Kawashima Eiji, Hasebe Naoyuki, Kikuchi Kenjiro
Division of Cardiology, Asahikawa Kosei Hospital, Hokkaido.
J Cardiol. 2006 Apr;47(4):197-205.
A 70-year-old woman was admitted to our hospital because of left ventricular dysfunction, which was observed after permanent pacemaker implantation in another hospital. The left ventricular dysfunction was apical ballooning. Left ventriculography demonstrated takotsubo-like shape. However, the dysfunction did not improve immediately with medical treatment. In this case, 75% stenosis was observed in the left anterior descending artery. We suppose that this lesion corresponded to the delayed recovery of the dysfunction and performed coronary intervention. The takotsubo-like shape improved gradually for about 1 year. Whether the coronary intervention was effective for the recovery of the dysfunction is unclear, this clinical course was interesting in evaluating the delayed recovery of takotsubo-like left ventricular dysfunction.
一名70岁女性因左心室功能障碍入住我院,该功能障碍是在另一家医院植入永久性起搏器后被发现的。左心室功能障碍表现为心尖部气球样变。左心室造影显示呈 tako tsubo样形态。然而,经药物治疗后功能障碍并未立即改善。在该病例中,左前降支动脉发现有75%的狭窄。我们推测该病变与功能障碍的延迟恢复有关,并进行了冠状动脉介入治疗。tako tsubo样形态在大约1年的时间里逐渐改善。冠状动脉介入治疗对功能障碍的恢复是否有效尚不清楚,这一临床过程对于评估tako tsubo样左心室功能障碍的延迟恢复很有意义。