Dande Amit S, Fisher Lawrence I, Warshofsky Mark K
Division of Cardiology, Danbury Hospital, 24 Hospital Ave., Danbury, CT 06810, USA.
J Invasive Cardiol. 2011 Apr;23(4):E76-8.
Takotsubo cardiomyopathy is a transient acute left ventricular dysfunction characterized by left ventricular apical akinesis and ballooning without obstructive coronary disease described predominantly in post-menopausal women in the setting of acute emotional or physical stress. Recent reports have described isolated transient basal akinesis (inverted takotsubo cardiomyopathy) in mostly female patients with acute neurologic disorders or pheochromocytoma. We describe a rare case of a 78-year-old male with inverted takotsubo cardiomyopathy in the setting of acute abdominal pain attributed to biliary colic. A review of published literature reveals that inverted takotsubo cardiomyopathy precipitated by acute stress rather than an acute neurologic disorder appears to be an extremely rare presentation in a male patient. We discuss the relevant literature regarding incidence and reported gender distribution of inverted takotsubo cardiomyopathy.
应激性心肌病是一种短暂的急性左心室功能障碍，其特征为左心室心尖运动减弱和膨出，且无阻塞性冠状动脉疾病，主要见于绝经后女性在急性情绪或身体应激状态下。最近的报告描述了大多为患有急性神经系统疾病或嗜铬细胞瘤的女性患者出现孤立性短暂性基底运动减弱（倒置型应激性心肌病）。我们描述了一例罕见病例，一名78岁男性因胆绞痛导致急性腹痛而出现倒置型应激性心肌病。对已发表文献的回顾显示，由急性应激而非急性神经系统疾病诱发的倒置型应激性心肌病在男性患者中似乎是一种极其罕见的表现。我们讨论了有关倒置型应激性心肌病发病率及报告的性别分布的相关文献。
