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头部损伤与倒T型尖峰心肌病

Head injury and inverted Takotsubo cardiomyopathy.

作者信息

Riera Maria, Llompart-Pou Juan A, Carrillo Andres, Blanco Carmen

机构信息

Critical Care Unit, Son Dureta Hospital, Palma de Mallorca, Andrea Doria 55, 07014, Palma de Mallorca, Spain.

出版信息

J Trauma. 2010 Jan;68(1):E13-5. doi: 10.1097/TA.0b013e3181469d5b.

Abstract

Takotsubo cardiomyopathy or "apical ballooning syndrome" is characterized by an acute onset of transient akinesia of the apical portion of the left ventricle accompanied by electrocardiographic changes and minimal myocardial enzymatic release mimicking acute myocardial infarction without significant stenosis on the coronary angiogram. Emotional or physical stress might trigger this reversible form of cardiomyopathy. We describe a case of a 22-year-old woman presenting with an atypical form of Takotsubo cardiomyopathy after severe head injury.

摘要

应激性心肌病或“心尖气球样综合征”的特征是左心室心尖部急性发作短暂运动不能,伴有心电图改变和心肌酶释放极少,酷似急性心肌梗死,而冠状动脉造影无明显狭窄。情绪或身体应激可能触发这种可逆性心肌病。我们描述了一例22岁女性在严重头部受伤后出现非典型应激性心肌病的病例。

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