应激性心肌病的极晚期复发
Very late recurrence of Takotsubo syndrome.
作者信息
Cerrito Marco, Caragliano Alberto, Zema Domenica, Zito Concetta, Oreto Giuseppe
机构信息
Dipartimento di Medicina e Farmacologia, Università di Messina, Italy.
出版信息
Ann Noninvasive Electrocardiol. 2012 Jan;17(1):58-60. doi: 10.1111/j.1542-474X.2011.00481.x.
Abstract
Recurrence of the Takotsubo syndrome is possible, and in the majority of cases it occurs within 4 years. The present report is focused on a case of the Takotsubo syndrome recurrence after 10 years. The patient had been admitted for the first time in 1999 with a diagnosis of "non-q wave acute anterolateral myocardial infarction." Ten years later, she was readmitted for suspected acute myocardial infarction; coronary arteries, however, were normal, and the left ventricular angiogram demonstrated apical ballooning typical for the Takotsubo syndrome. It is worth noting that the clinical presentation and the ECG were the same on both occasions; in addition, both events were triggered by an emotional stress.
摘要
应激性心肌病有可能复发，且大多数情况下在4年内复发。本报告聚焦于1例10年后复发的应激性心肌病病例。该患者于1999年首次入院，诊断为“非Q波急性前侧壁心肌梗死”。10年后，她因疑似急性心肌梗死再次入院；然而，冠状动脉正常，左心室血管造影显示出应激性心肌病典型的心尖部气球样改变。值得注意的是，两次发病的临床表现和心电图相同；此外，两次事件均由情绪应激诱发。
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