Magri Caroline J, Fava Stephen, Felice Herbert
Department of Cardiac Services, Mater Dei Hospital, Tal-Qroqq, Malta.
Br J Hosp Med (Lond). 2011 Nov;72(11):646-7. doi: 10.12968/hmed.2011.72.11.646.
A young woman presented with severe chest pain and an inverted takotsubo cardiomyopathy following adrenaline injection for treatment of an allergic reaction. To the authors' knowledge, this is the first reported case of inverted takotsubo cardiomyopathy following systemic adrenaline administration. The case strongly suggests a central role of catecholamines in the pathogenesis of takotsubo cardiomyopathy.
一名年轻女性在注射肾上腺素治疗过敏反应后出现严重胸痛和倒置型应激性心肌病。据作者所知,这是首例系统性应用肾上腺素后发生倒置型应激性心肌病的报告病例。该病例有力地表明了儿茶酚胺在应激性心肌病发病机制中起核心作用。