Wikiel Krzysztof, Gemma Lee W, Yowler Charles J, Coffee Tammy, Brandt Christopher P
MetroHealth Medical Center Campus, Case Western Reserve University, Cleveland, Ohio 44109, USA.
J Burn Care Res. 2011 Sep-Oct;32(5):e161-4. doi: 10.1097/BCR.0b013e31822ac81e.
The relationship between severe emotional stress and subsequent acute cardiac dysfunction has been anecdotally noted for decades. In fact, cases of "death by fright" have been described since ancient times, and a growing body of evidence suggests that this phenomenon is due to an acute catecholamine-induced cardiomyopathy. The authors present a case of Takotsubo cardiomyopathy complicating a minor burn injury that occurred during an operating room fire. Two PEA arrests occurred immediately after injury, and an intra-aortic balloon pump was required due to hemodynamic instability. The diagnosis was confirmed by echocardiogram and cardiac catherization. This condition is often unrecognized as a cause of hemodynamic instability and may be more common after burn injury than we presently recognize.
严重情绪应激与随后发生的急性心脏功能障碍之间的关系，几十年来一直有轶事记载。事实上，自古以来就有“吓死”的病例描述，越来越多的证据表明，这种现象是由急性儿茶酚胺诱导的心肌病所致。作者报告了一例应激性心肌病，该病例使手术室火灾期间发生的轻度烧伤复杂化。受伤后立即发生了两次心脏停搏伴无脉电活动，因血流动力学不稳定而需要主动脉内球囊反搏。通过超声心动图和心导管检查确诊。这种情况常未被视为血流动力学不稳定的原因，在烧伤后可能比我们目前所认识的更为常见。
