Singh Anumeha, Southwick Francis, Gumm Elisa, Makar Jasbir S
Department of Internal Medicine, Weirton Medical Center, USA.
W V Med J. 2012 Sep-Oct;108(5):14-7.
Takotsubo cardiomyopathy ("broken heart") exhibits a highly possible link between acute emotional stress and the onset of left ventricular dysfunction. This article describes a case report of takotsubo cardiomyopathy in an 89-year-old female; the patient is significantly older than the median age for this condition, which ranges from 63 to 76 years of age. The exact mechanism of this condition is unclear and there are several hypotheses under investigation. Several studies have shown a link between takotsubo cardiomyopathy and elevated catecholamines. Similarly, other studies have documented emotional and physical stress to be the underlying pathophysiology of this condition. Another case study has proposed a novel hypothesis of a link between septal thickening in cases of takotsubo cardiomyopathy. This article is an interesting case report of an elderly patient with takotsubo cardiomyopathy.
应激性心肌病（“心碎综合征”）显示出急性情绪应激与左心室功能障碍发作之间极有可能存在关联。本文描述了一名89岁女性应激性心肌病的病例报告；该患者的年龄明显高于这种疾病的中位年龄范围（63至76岁）。这种疾病的确切机制尚不清楚，有几种假说正在研究中。多项研究表明应激性心肌病与儿茶酚胺升高之间存在关联。同样，其他研究记录了情绪和身体应激是这种疾病的潜在病理生理学机制。另一项病例研究提出了应激性心肌病病例中室间隔增厚之间存在关联的新假说。本文是一篇关于老年应激性心肌病患者的有趣病例报告。
