Tomaszewski Andrzej, Parcheta Piotr, Samolej-Parcheta Karolina, Wysokiński Andrzej
Katedra i Klinika Kardiologii, Uniwersytet Medyczny, Lublin.
Kardiol Pol. 2009 Nov;67(11):1252-5.
A 77-year-old female in severe emotional distress was admitted to Coronary Care Unit with typical features of acute coronary syndrome, namely severe chest pain, high cardiac necrosis markers and ST-elevation in ECG. Due to the lack of significant changes in coronary arteries in coronary angiography the contractile function of the heart muscle was assessed in echocardiographic examination. That allowed to diagnose tako-tsubo cardiomyopathy. This condition is commonly triggered by stress. This case report puts emphasis on anamnesis, which is often underestimated when diagnosing tako-tsubo syndrome.
一名77岁女性因严重情绪困扰入住冠心病监护病房，具有急性冠状动脉综合征的典型特征，即严重胸痛、高心肌坏死标志物以及心电图ST段抬高。由于冠状动脉造影显示冠状动脉无明显变化，因此在超声心动图检查中评估了心肌的收缩功能。据此诊断为应激性心肌病。这种情况通常由压力引发。本病例报告强调了病史，在诊断应激性心肌病综合征时，病史常常被低估。
