Yoshida Tetsuro, Hibino Takeshi, Fujimaki Tetsuo, Oguri Mitsutoshi, Kato Kimihiko, Yajima Kazuhiro, Ohte Nobuyuki, Yokoi Kiyoshi, Kimura Genjiro
Int J Cardiol. 2009 Mar 6;132(3):e120-2. doi: 10.1016/j.ijcard.2007.08.045. Epub 2007 Dec 11.
Tako-tsubo cardiomyopathy is a rare, stress-related cardiomyopathy that occurs in postmenopausal women after emotional or physiological stressors. The prognosis is favorable with normalization of wall motion abnormalities within weeks. We report a rare case of tako-tsubo cardiomyopathy complicated by a left thrombus. Coronary angiography showed normal coronary arteries, although the echocardiography demonstrated the ballooning of the apex with hyperkinesis of the base in addition to a left ventricular thrombus. It is thought that this thrombus may have been caused by left ventricular dyskinesis. After short-term anticoagulant therapy, echocardiography revealed complete resolution of the left ventricular thrombus.
应激性心肌病是一种罕见的、与应激相关的心肌病，发生于绝经后女性在经历情绪或生理应激源之后。预后良好，数周内心壁运动异常可恢复正常。我们报告一例罕见的应激性心肌病合并左心室血栓的病例。冠状动脉造影显示冠状动脉正常，尽管超声心动图显示心尖部膨出伴心底运动增强，此外还有左心室血栓形成。据认为，该血栓可能是由左心室运动障碍引起的。经过短期抗凝治疗后，超声心动图显示左心室血栓完全消失。
