Center for Autoimmune Diseases and Department of Medicine B, Sheba Medical Center, Tel Hashomer, Israel.
J Cardiovasc Nurs. 2011 Nov-Dec;26(6):524-9. doi: 10.1097/JCN.0b013e31820e2a90.
Takotsubo cardiomyopathy (TC) is a neurocardiological disorder presumed to be triggered by stress, which may cause reversible heart failure, usually in postmenopausal women. It may mimic an acute myocardial infarction, accompanied by minimal elevation of cardiac enzymes, usually without evidence of obstructive coronary artery disease. Most clinicians are unfamiliar with this disorder. Therefore, some TCs are misdiagnosed as acute myocardial infarction. The modified Mayo Clinic criteria usually confirm a diagnosis, although the diagnostic criteria for TC remain controversial. Enhanced awareness by clinicians is important when encountering patients with chest pain and elevated cardiac enzymes. Takotsubo cardiomyopathy is usually associated with a favorable prognosis, although in rare instances it may be associated with life-threatening complications. Supportive care is especially important in the TC management. Our aim was to describe TC, characterize its clinical features, and extensively review the relevant literature.
心尖球形综合征（Takotsubo 心肌病）是一种神经心源性疾病，推测由应激引起，可能导致可逆性心力衰竭，通常发生在绝经后妇女中。它可能类似于急性心肌梗死，伴有心脏酶的轻微升高，通常没有阻塞性冠状动脉疾病的证据。大多数临床医生对这种疾病并不熟悉。因此，一些心尖球形综合征被误诊为急性心肌梗死。改良的梅奥诊所标准通常可以确认诊断，尽管心尖球形综合征的诊断标准仍存在争议。当遇到胸痛和心脏酶升高的患者时，临床医生提高认识非常重要。心尖球形综合征通常预后良好，尽管在极少数情况下，它可能与危及生命的并发症相关。支持性护理在心尖球形综合征的管理中尤为重要。我们的目的是描述心尖球形综合征，描述其临床特征，并广泛复习相关文献。
