Guttormsen Brian, Nee Lisa, Makielski J C, Keevil Jon G
University of Wisconsin Hospitals and Clinics, Department of Cardiovascular Medicine, 600 Highland Ave, H6/319 CSC, Madison, WI 53792-3248, USA.
WMJ. 2006 May;105(3):49-54.
Transient left ventricular apical ballooning is a newly defined syndrome characterized by sudden onset of chest symptoms, electrocardiographic changes characteristic of myocardial ischemia, transient left ventricular dysfunction-particularly in the apical region, low-grade troponin elevation, and no significant coronary stenosis by angiogram. This syndrome is also referred to as Takotsubo cardiomyopathy, "Ampulla" cardiomyopathy, Human Stress cardiomyopathy, and Broken Heart Syndrome. Emergency physicians, family physicians, general internists, and cardiologists may all encounter this syndrome at the point of contact. The similarity to acute coronary syndrome requires all clinicians who may potentially care for these patients to familiarize themselves with this newly recognized disease. We provide a recent case and review the current literature surrounding this syndrome.
短暂性左心室心尖部气球样变是一种新定义的综合征，其特征为突发胸痛症状、具有心肌缺血特征的心电图改变、短暂性左心室功能障碍（尤其是在心尖部区域）、肌钙蛋白轻度升高，且血管造影显示无明显冠状动脉狭窄。该综合征也被称为应激性心肌病、“壶腹”心肌病、心源性应激性心肌病和心碎综合征。急诊医生、家庭医生、普通内科医生和心脏病专家在接诊时都可能遇到这种综合征。因其与急性冠状动脉综合征相似，所以所有可能诊治这些患者的临床医生都需要熟悉这种新认识的疾病。我们提供了一个近期病例并回顾了围绕该综合征的当前文献。
