Division of Cardiology, Cardiac and Vascular Center, Department of Medicine, Inje University Seoul Paik Hospital, Inje University School of Medicine, #85 Jeo-dong 2-ga, Jung-gu, Seoul, Republic of Korea.
Heart Lung Circ. 2011 Jul;20(7):476-8. doi: 10.1016/j.hlc.2011.01.004. Epub 2011 May 13.
Tako-Tsubo cardiomyopathy (TTC), also known as transient left ventricular (LV) ballooning syndrome or stress-induced cardiomyopathy, is characterised by transient LV dysfunction in the absence of significant angiographic coronary stenoses, frequently provoked by an episode of emotional or physical stress. In TTC, typically transient akinesis or dyskinesis of the LV apical segments with normal or hypercontractile basal wall motions is observed. Recently, several cases of atypical or inverted transient TTC sparing the LV apex have been reported. We report a case of inverted TTC showing akinesis of the basal and mid-ventricular segments of the LV with apical hyperkinesia triggered by bronchoscopy with bronchoalveolar lavage.
心尖球囊样综合征（Tako-Tsubo 心肌病），又称短暂性左心室（LV）球囊样综合征或应激性心肌病，其特征为在无明显血管造影冠状动脉狭窄的情况下出现短暂性 LV 功能障碍，通常由情绪或身体应激引起。在 TTC 中，通常观察到 LV 心尖段短暂的无运动或运动障碍，而基底壁运动正常或呈高收缩性。最近，有几例非典型或倒置的 TTC 病例报告，LV 心尖部不受累。我们报告了一例倒置 TTC 的病例，该病例在支气管镜检查伴肺泡灌洗后出现 LV 基底部和中段的运动障碍，而心尖部呈高运动性。
