Division of Cardiovascular Medicine, Department of Internal Medicine, University of Missouri, Five Hospital Drive, CE306, Columbia, MO 65212, USA.
Int J Cardiovasc Imaging. 2010 Jun;26(5):527-35. doi: 10.1007/s10554-010-9590-7. Epub 2010 Feb 2.
Widespread use of echocardiography has contributed to more frequent recognition of takotsubo stress cardiomyopathy. Initial presentation is similar to acute coronary syndrome and the acute course can be complicated by heart failure, arrhythmias, dynamic left ventricular outflow tract obstruction, hypotension and death. We briefly review the clinical presentation and propose a unified diagnostic algorithm for cardiologists acutely managing this cardiac emergency. We highlight the central role of echocardiography and emphasize the nuances of this peculiar acute cardiomyopathy from an echocardiographers' perspective.
超声心动图的广泛应用促进了人们对心尖球囊样综合征（takotsubo 应激性心肌病）的更频繁识别。其初始表现类似于急性冠状动脉综合征，急性期可并发心力衰竭、心律失常、左心室流出道动态梗阻、低血压和死亡。我们简要回顾了其临床表现，并为急性处理这种心脏急症的心脏病专家提出了一个统一的诊断算法。我们强调了超声心动图的核心作用，并从超声心动图专家的角度强调了这种特殊急性心肌病的细微差别。
