Trio Olimpia, de Gregorio Cesare, Andò Giuseppe
Department of Medicine and Pharmacology, Cardiology Section, Policlinico G.Martino, University of Messina, Italy.
Ther Adv Cardiovasc Dis. 2010 Apr;4(2):105-7. doi: 10.1177/1753944709356013. Epub 2010 Feb 2.
The frequent occurrence of a reversible left ventricular dysfunction complicating subarachnoid haemorrhage raises a number of issues about the clinical and pathophysiological similarities with the transient left ventricular apical ballooning syndrome (TLVABS) or tako-tsubo cardiomyopathy (TTC). Given the latest clinical and pathophysiological evidence about neurogenic cardiomyopathies, the diagnosis of TTC should not be ruled out in patients experiencing acute brain injury and cerebrovascular events. Each type of reversible left ventricular dysfunction mediated by the central nervous system and initiated by acute brain injury, both physical, such as intracranial bleeding or head traumas, and psychological, such as sudden emotional stress, could be encompassed in a single definition with larger inclusion criteria, such as 'acute ballooning cardiomyopathy' (ABC), that is likely to be more representative of the real needs in the clinical setting.
蛛网膜下腔出血常并发可逆性左心室功能障碍，这引发了一些关于其与短暂性左心室心尖气球样变综合征（TLVABS）或应激性心肌病（TTC）在临床和病理生理方面相似性的问题。鉴于有关神经源性心肌病的最新临床和病理生理证据，对于经历急性脑损伤和脑血管事件的患者，不应排除TTC的诊断。由中枢神经系统介导且由急性脑损伤引发的每种可逆性左心室功能障碍，无论是身体方面的，如颅内出血或头部外伤，还是心理方面的，如突发情绪应激，都可以纳入一个具有更广泛纳入标准的单一定义中，例如“急性气球样变心肌病”（ABC），这可能更能代表临床环境中的实际需求。
