Elikowski Waldemar, Małek Małgorzata, Łanocha Magdalena, Wróblewski Dariusz, Angerer Dariusz, Kurosz Jolanta, Rachuta Katarzyna
Szpital im. Józefa Strusia w Poznaniu, Oddziałl Chorób Wewnetrznych.
Pol Merkur Lekarski. 2013 Apr;34(202):219-23.
Stress-induced cardiomyopathy is characterized by transient regional left ventricular (LV) dysfunction that may involve, in different forms, midventricular, apical or basal segments. The authors describe a case of a 41-year-old woman with reversible, but global LV systolic dysfunction, complicated with apical thrombi. Clinical symptoms of dilated cardiomyopathy were preceded by persistent stressful workplace conditions. Ischemic, inflammatory, metabolic and endocrine causes of the disease were excluded. After 6 weeks, complete recovery of LV function in echocardiography and normal cardiac magnetic resonance imaging were observed, despite only modest doses of ramipril, carvedilol and diuretics. Six months later, as a result of another episode of emotional stress, she was hospitalized for typical takotsubo cardiomyopathy. Reversible global LV hypokinesis may be an atypical variant of stress-induced cardiomyopathy.
应激性心肌病的特征是短暂的局部左心室（LV）功能障碍，其可能以不同形式累及心室中部、心尖或基底节段。作者描述了一例41岁女性病例，其患有可逆性但为全心左心室收缩功能障碍，并伴有心尖血栓形成。在出现扩张型心肌病的临床症状之前，该患者一直处于紧张的工作环境中。已排除该疾病的缺血、炎症、代谢和内分泌原因。尽管仅使用了小剂量的雷米普利、卡维地洛和利尿剂，但6周后超声心动图显示左心室功能完全恢复，心脏磁共振成像结果正常。6个月后，由于再次出现情绪应激事件，她因典型的Takotsubo心肌病住院。可逆性全心左心室运动减退可能是应激性心肌病的一种非典型变体。
