Patanè Salvatore, Marte Filippo
Int J Cardiol. 2008 Feb 29;124(2):e22-4. doi: 10.1016/j.ijcard.2006.11.177. Epub 2007 Mar 23.
Tako-tsubo-like (Japanese word for octopus-catcher) left ventricular dysfunction is an enigmatic cardiomyopathy. Typically, the patients have a history of recent stressful incidents immediately preceding onset of mild to moderate chest pain, have ST-segment elevation in leads V3 through V6, ECG changes that typically demonstrate diffuse T-wave inversions and abnormal QS-wave development, discrete wall motion abnormalities involving the lower anterior wall and apex on echocardiography or left ventriculography, and limited myocardial enzyme release without evidence for hemodynamically significant coronary arterial stenoses by angiography. We describe a case of a Tako-tsubo-like left ventricular dysfunction in a 72-year-old female Italian woman.
类Takotsubo型(Takotsubo在日语中意为章鱼捕捞器)左心室功能障碍是一种神秘的心肌病。通常,患者在出现轻至中度胸痛之前近期有应激事件史,V3至V6导联有ST段抬高,心电图改变通常表现为弥漫性T波倒置和异常QS波形成,超声心动图或左心室造影显示下前壁和心尖部有离散的室壁运动异常,心肌酶释放有限,血管造影未发现血流动力学上有显著意义的冠状动脉狭窄。我们描述了一名72岁意大利女性患类Takotsubo型左心室功能障碍的病例。