Kumar Anupam, Padala Santosh, Morales Donna Chelle, Swales Heather
University of Connecticut Health Center, 263 Farmington Ave., Farmington, CT 06032, USA.
Conn Med. 2013 Feb;77(2):99-102.
Takotsubo cardiomyopathy (TC), also known as broken-heart syndrome, is usually the result of a stressful event. It is more common in postmenopausal females and can mimic an acute coronary syndrome. We report the case of an elderly female who presented with acute chest pain and ECG changes suggestive of an acute myocardial infarction, but later was found to have right-sided pneumothorax with TC. The case highlights the growing interest in stress cardiomyopathy and its variable modes of presentation. It also reminds us that the acute chest pain of a pneumothorax can closely mimic a coronary event with similar electrocardiographic changes.
应激性心肌病（TC），也称为心碎综合征，通常是由压力事件引起的。它在绝经后女性中更为常见，并且可能类似于急性冠状动脉综合征。我们报告了一例老年女性病例，该患者出现急性胸痛和提示急性心肌梗死的心电图变化，但后来发现患有右侧气胸合并应激性心肌病。该病例凸显了人们对应激性心肌病及其多样表现形式的兴趣日益增加。它还提醒我们，气胸引起的急性胸痛可能与具有相似心电图变化的冠状动脉事件极为相似。
