Tran Khoa, Milne Nathan, Duhig Edwina, Altman Mikhail
Intensive Care Unit, Logan Hospital, Meadowbrook, Queensland, Australia.
Am J Forensic Med Pathol. 2013 Sep;34(3):217-21. doi: 10.1097/PAF.0b013e31829f653e.
We report the case of a 34-year-old woman who presented after a witnessed out-of-hospital arrest. Initial cardiac rhythm at the time of resuscitation was ventricular fibrillation. Subsequently in hospital, she developed further episodes of polymorphic ventricular tachycardia and ventricular fibrillation. Urgent echocardiography showed features suggestive of an inverted takotsubo cardiomyopathy. Twenty-four hours after admission, there was a further episode of polymorphic ventricular tachycardia from which the patient could not be resuscitated. An autopsy confirmed the cause of death as inverted takotsubo cardiomyopathy. We present the pathological findings from the postmortem autopsy.
我们报告了一例34岁女性的病例，该患者在院外心脏骤停被目击后就诊。复苏时的初始心律为心室颤动。随后在医院里，她又出现了多形性室性心动过速和心室颤动发作。紧急超声心动图显示出提示倒T波型心肌病的特征。入院24小时后，患者再次出现多形性室性心动过速，最终未能复苏成功。尸检证实死因是倒T波型心肌病。我们展示了尸检的病理结果。
