应激性（Takotsubo）心肌病中的心脏交感神经活动。
Cardiac sympathetic activity in stress-induced (Takotsubo) cardiomyopathy.
作者信息
Prasad Abhiram, Madhavan Malini, Chareonthaitawee Panithaya
机构信息
Mayo Clinic, Rochester, Rochester, MN 55905, USA.
出版信息
Nat Rev Cardiol. 2009 Jun;6(6):430-4. doi: 10.1038/nrcardio.2009.51.
BACKGROUND
A 54-year-old postmenopausal woman presented with retrosternal chest pressure, nausea, and vomiting of 4 h duration. Her medical history included hypertension (treated with metoprolol and ramipril), hyperlipidemia (treated with atorvastatin), and depression (treated with fluoxetine). A few hours before symptom onset, she had witnessed an accident in which her sister sustained serious injuries. The patient was visiting her sister-who was in critical condition in the hospital-when the symptoms began.
INVESTIGATIONS
Physical examination, chest radiography, laboratory testing, electrocardiography, coronary angiography, and PET with 11C hydroxyephedrine.
DIAGNOSIS
Stress-induced (Takotsubo) cardiomyopathy (apical ballooning syndrome).
MANAGEMENT
The patient was monitored with cardiac telemetry. Metoprolol and ramipril were continued.
背景
一名54岁绝经后女性出现胸骨后胸部压迫感、恶心及呕吐4小时。她的病史包括高血压（用美托洛尔和雷米普利治疗）、高脂血症（用阿托伐他汀治疗）及抑郁症（用氟西汀治疗）。症状发作前数小时，她目睹了一起事故，其妹妹在事故中受重伤。症状开始时，患者正在医院看望处于危急状态的妹妹。
检查
体格检查、胸部X线检查、实验室检查、心电图、冠状动脉造影及11C-羟基麻黄碱PET检查。
诊断
应激性（Takotsubo）心肌病（心尖气球样综合征）。
治疗
对患者进行心脏遥测监测。继续使用美托洛尔和雷米普利。
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