Vyas Chirayu, Shah Sanjay, Pancholy Sameer, Patel Tejas, Moussa Isam
Acute Card Care. 2012 Dec;14(4):117-9. doi: 10.3109/17482941.2012.735674.
We report a patient who presented with takotsubo cardiomyopathy but was misdiagnosed as an anterior wall ST elevation myocardial infarction (AWMI). We illustrate how misdiagnosis led to mismanagement by initiating intravenous inotropic agents that led to further hemodynamic compromise. Subsequent withdrawal of the inotropic agents and simultaneous administration of oral metoprolol therapy led to hemodynamic and clinical improvement re-affirming the diagnosis of takotsubo cardiomyopathy.
我们报告了一名表现为应激性心肌病但被误诊为前壁ST段抬高型心肌梗死（AWMI）的患者。我们阐述了误诊是如何导致治疗失误的，即开始静脉使用正性肌力药物，这导致了进一步的血流动力学不稳定。随后停用正性肌力药物并同时给予口服美托洛尔治疗，使血流动力学和临床症状得到改善，再次证实了应激性心肌病的诊断。
