Grautoff S, Sitzer M, Weitkamp P, Kähler J
Klinikum Herford, Klinik für Kardiologie und internistische Intensivmedizin, Germany.
Dtsch Med Wochenschr. 2012 Nov;137(44):2256-9. doi: 10.1055/s-0032-1327240. Epub 2012 Oct 23.
A 69-year-old female patient who had been physically and mentally healthy was admitted to our emergency department because of acute onset of amnesia.
Inconspicuous diagnostic findings led to the diagnosis of transient global amnesia (TGA). Furthermore bradycardia and elevated troponins were detected. Because of these findings a cardiologic workup was performed resulting in the diagnosis of Tako-Tsubo cardiomyopathy.
The patient recovered completely from TGA as well as from the slight reduction of the left-ventricular ejection fraction as part of the Tako-Tsubo cardiomyopathy.
There are similarities of the two diseases Tako-Tsubo cardiomyopathy and TGA concerning triggers as well as reversibility. Patients presenting with symptoms suggestive for TGA should be considered to undergo additional cardiologic evaluation.
一名69岁身体健康的女性患者因急性失忆症入住我院急诊科。
不明显的诊断结果导致诊断为短暂性全面性遗忘症(TGA)。此外,还检测到心动过缓和肌钙蛋白升高。由于这些发现,进行了心脏检查,结果诊断为应激性心肌病。
患者从TGA以及应激性心肌病导致的左心室射血分数轻微降低中完全康复。
应激性心肌病和TGA这两种疾病在触发因素和可逆性方面存在相似之处。出现提示TGA症状的患者应考虑接受额外的心脏评估。