典型心尖部气球样变后1年出现的心室中部型应激性心肌病复发：1例报告

Koeth Oliver, Mark Bernd, Zahn Ralf, Zeymer Uwe

Herzzentrum Ludwigshafen, Department of Cardiology, Ludwigshafen, Germany.

Cases J. 2008 Nov 19;1(1):331. doi: 10.1186/1757-1626-1-331.

Takotsubo cardiomyopathy was first described in Japan and is characterized by transient left ventricular apical ballooning in the absence of a significant coronary artery disease.Caused by the clinical presentation including chest pain, electrocardiographic changes and elevated myocardial markers this syndrome is frequently misdiagnosed as an acute coronary syndrome. Recurrences of Takotsubo Cardiomyopathy, especially in variant regions of the left ventricle are rareWe describe a midventricular form of Takotsubo Cardiomyopathy as a recurrence 1 year after typical apical ballooning.

应激性心肌病最早在日本被描述，其特征是在无显著冠状动脉疾病的情况下出现短暂的左心室心尖部气球样变。由于临床表现包括胸痛、心电图改变和心肌标志物升高，该综合征常被误诊为急性冠状动脉综合征。应激性心肌病的复发，尤其是在左心室的变异区域，较为罕见。我们描述了一例应激性心肌病心室中部型，为典型心尖部气球样变1年后复发的病例。