Digne F, Paillole C, Pillière R, Elayi S C, Gérardin B, Dib J C, Dahan M
Int J Cardiol. 2008 Jul 21;127(3):420-2. doi: 10.1016/j.ijcard.2007.04.088. Epub 2007 Aug 10.
The Tako-Tsubo syndrome is a clinical entity recently described that associate a chest pain occurring during a stress, an abnormal ECG and/or an increase in the troponin blood level and a transient left ventricular dysfunction with an akinesis involving generally the midsection and the apex of the heart. It has also been reported that left ventricle (LV) dysfunction may involve only the midventricle, although it seems less common. We report the case of a 66 year old woman that developed a stress-induced cardiomyopathy (Tako-Tsubo syndrome) involving the midventricle when performing an exercise echocardiography. To our knowledge, this is the first case reported in such circumstances.
应激性心肌病是一种最近被描述的临床病症,其特征为在应激状态下出现胸痛、心电图异常和/或血肌钙蛋白水平升高,以及短暂的左心室功能障碍,通常表现为累及心脏中部和心尖的运动不能。也有报道称左心室(LV)功能障碍可能仅累及心室中部,尽管这种情况似乎不太常见。我们报告了一例66岁女性在进行运动超声心动图检查时发生累及心室中部的应激性心肌病(应激性心肌病综合征)的病例。据我们所知,这是在这种情况下报告的首例病例。