一名成年女性反复胸痛的不寻常病因：一例反复发生的应激性（Takotsubo）心肌病
An unusual cause of recurrent chest pain in an adult woman: a case of recurrent stress-induced (Takotsubo) cardiomyopathy.
作者信息
Mainali Naba Raj, Aryal Madan Raj, Pradhan Rajesh, Hope Earl J
机构信息
Department of Internal Medicine, Reading Health System, West Reading, Pennsylvania, USA.
出版信息
BMJ Case Rep. 2013 May 24;2013:bcr2013009546. doi: 10.1136/bcr-2013-009546.
Abstract
Recurrent Takotsubo cardiomyopathy is a relatively uncommon condition seen in patients with severe physical or emotional stress. We report a case of a 51-year-old woman who had recurrent Takotsubo cardiomyopathy with involvement of apical left ventricular (LV) segments, induced by intense emotional stress. On two occasions she presented with symptoms of acute coronary syndrome accompanied by LV regional wall motion abnormalities without a culprit coronary stenosis, and exhibited complete resolution of symptoms and restoration of normal LV wall motion.
摘要
复发性应激性心肌病是一种在遭受严重身体或情绪应激的患者中相对少见的病症。我们报告一例51岁女性，她因强烈情绪应激诱发复发性应激性心肌病，累及左心室心尖段。她曾两次出现急性冠状动脉综合征症状，伴有左心室节段性室壁运动异常，而无罪犯冠状动脉狭窄，并表现出症状完全缓解及左心室壁运动恢复正常。
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