Mansencal Nicolas, Dubourg Olivier
Assistance publique-Hôpitaux de Paris (AP-HP), hôpital Ambroise-Paré, centre de référence pour les maladies cardiaques héréditaires, université de Versailles-Saint-Quentin (UVSQ), pôle V thorax vasculaire digestif métabolisme, 92100 Boulogne, France.
Presse Med. 2013 Jun;42(6 Pt 1):1050-7. doi: 10.1016/j.lpm.2013.02.323. Epub 2013 Apr 10.
Tako-Tsubo cardiomyopathy usually mimics an acute coronary syndrome and is defined as a transient left ventricular systolic dysfunction. Stress is frequently present, but is not systematically found. Diagnosis is based on the criteria of the Mayo-Clinic. Tako-Tsubo cardiomyopathy preferentially affects postmenopausal women. Several explorations are performed to confirm the diagnosis: electrocardiogram, biomarkers, echocardiography, coronary angiography and left ventricular angiography, and MRI. Left ventricular dysfunction is pathognomonic, with circular akinesia regarding the different mid and apical segments of the left ventricle in its typical form. Complications may occur in the acute phase and should be systematically assessed. The complete recovery of left ventricular systolic dysfunction is the rule and must be assessed, allowing to confirm the diagnosis of Tako-Tsubo cardiomyopathy.
应激性心肌病通常酷似急性冠脉综合征,定义为短暂性左心室收缩功能障碍。应激因素常常存在,但并非总能发现。诊断依据梅奥诊所的标准。应激性心肌病多见于绝经后女性。需进行多项检查以确诊:心电图、生物标志物、超声心动图、冠状动脉造影和左心室造影以及磁共振成像。左心室功能障碍具有特征性,典型表现为左心室不同的中间段和心尖段呈环形运动减弱。急性期可能会出现并发症,必须进行系统评估。左心室收缩功能障碍完全恢复是常有的情况,必须对此进行评估,以确诊应激性心肌病。