Masiarek Konrad, Grabowicz Włodzimierz, Makowski Marcin, Frynas Karolina, Szyłło Natalia, Jończyk Jakub, Lubiński Andrzej
Uniwersytecki Szpital Kliniczny im. Wojskowej Akademii Medycznej - Centralny Szpital Weteranów, 90-549 Łódź.
Kardiol Pol. 2010 Jan;68(1):66-71.
Tako-tsubo cardiomyopathy, also known as stress-induced cardiomyopathy, is a temporary left ventricular dysfunction characterised by acute retrosternal rest pain, ST - segment elevation, slight elevation of cardiac necrosis markers, preferential apical akinesia or hypokinesia with basal hypercontractility in echocardiography. Its clinical picture mimics an acute coronary syndrome. Coronary angiography reveals normal coronary arteries. The characteristic symptoms occur after emotional or physical strain. We report a case of woman admitted to the hospital who presented with symptoms of acute coronary syndrome with ST - segment elevation. Patient clinical presentation and tests results led to a diagnosis of tako-tsubo cardiomyopathy.
应激性心肌病,又称应激性心肌病,是一种暂时性左心室功能障碍,其特征为急性胸骨后静息痛、ST段抬高、心脏坏死标志物轻度升高、超声心动图显示心尖部运动减弱或运动减弱伴基底段心肌收缩力增强。其临床表现类似急性冠状动脉综合征。冠状动脉造影显示冠状动脉正常。典型症状在情绪或身体应激后出现。我们报告一例入院的女性患者,她表现出急性冠状动脉综合征伴ST段抬高的症状。患者的临床表现和检查结果导致诊断为应激性心肌病。