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一名绝经前女性的应激性心肌病( tako - tsubo ):沙特阿拉伯的病例报告

Stress-induced cardiomyopathy (Tako-Tsubo) in a premenopausal woman: A case report from Saudi Arabia.

作者信息

Al-Moghairi Abdulrahman, Al-Harfi Ziad, Al-Shouli Sadiq

机构信息

PSCC, Adult Cardiology, P.O. Box 27656, Riyadh 11427, Saudi Arabia.

出版信息

J Saudi Heart Assoc. 2010 Oct;22(4):219-21. doi: 10.1016/j.jsha.2010.07.003. Epub 2010 Jul 24.

Abstract

Tako-Tsubo cardiomyopathy (TTC) is a nonischemic cardiomyopathy characterized by reversible left ventricular dysfunction that is seen predominantly in postmenopausal women (>80%). The syndrome has symptoms that are similar to acute myocardial infarction, such as electrocardiogram changes (ST-segment elevation and subsequent giant T wave inversion) and abnormal cardiac enzymes. The clinical prognosis is usually benign. This article reports the first case of a TTC in a premenopausal Saudi woman. Early diagnosis of TTC excludes the use of stents, thrombolytics, and long-term coronary heart disease medications.

摘要

应激性心肌病(TTC)是一种非缺血性心肌病,其特征为可逆性左心室功能障碍,主要见于绝经后女性(>80%)。该综合征具有与急性心肌梗死相似的症状,如心电图改变(ST段抬高及随后的巨大T波倒置)和心肌酶异常。临床预后通常良好。本文报告了沙特一名绝经前女性首例应激性心肌病病例。应激性心肌病的早期诊断可避免使用支架、溶栓药物及长期冠心病药物。

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