Gill Heart Institute, Division of Cardiovascular Medicine, University of Kentucky, 900 S Limestone Street, 326 Wethington Building, Lexington, KY 40536-0200, USA.
Singapore Med J. 2011 Apr;52(4):e59-61.
Takotsubo cardiomyopathy is increasingly being diagnosed as a cause of acute coronary syndrome in postmenopausal women. It may also present as reversible acute left heart failure with an excellent prognosis for recovery. Although rare, it may be an underdiagnosed condition in the medical intensive care units among patients admitted with non-cardiac acute conditions. Therefore, intensivists must be aware of the possibility of this condition; this can help to avoid unnecessary costly investigations and provide an early, definite prognosis.
应激性心肌病在绝经后女性中的发病率逐渐升高,是导致急性冠状动脉综合征的一个原因。应激性心肌病也可能表现为可逆性急性左心衰竭,其预后恢复良好。虽然较为罕见,但在因非心脏急症而入院的患者中,这种疾病在重症监护病房可能被漏诊。因此,重症监护医生必须意识到这种情况的可能性,这有助于避免不必要的昂贵检查,并提供早期明确的预后。