Jo Y Y, Park S, Choi Y S
Department of Anaesthesiology and Pain Medicine, Yonsei University College of Medicine, Seodaemun-gu, Seoul, Korea.
Anaesth Intensive Care. 2011 Sep;39(5):954-7. doi: 10.1177/0310057X1103900524.
Stress-induced cardiomyopathy is an acute cardiac syndrome mimicking ST-segment elevation myocardial infarction and is characterised by transient left ventricular dysfunction in the absence of obstructive coronary artery disease. Caesarean delivery is associated with intense emotional and physical stress, which may precipitate stress-induced cardiomyopathy mimicking acute myocardial infarction. We report a case of a woman who was supported with extracorporeal membrane oxygenation for acute heart failure and severe pulmonary oedema, which may have resulted from stress-induced cardiomyopathy in the early postpartum period following caesarean delivery.
应激性心肌病是一种酷似ST段抬高型心肌梗死的急性心脏综合征，其特征是在无阻塞性冠状动脉疾病的情况下出现短暂的左心室功能障碍。剖宫产与强烈的情绪和身体应激有关，这可能会诱发酷似急性心肌梗死的应激性心肌病。我们报告一例产后早期因剖宫产可能并发应激性心肌病导致急性心力衰竭和严重肺水肿而接受体外膜肺氧合支持的女性病例。
