Sugiura Tomonori, Dohi Yasuaki, Yamashita Sumiyo, Goto Toshihiko, Hachiya Kenta, Tani Tomomitsu, Murakami Yoshimasa, Ohte Nobuyuki
Department of Cardio-Renal Medicine and Hypertension, Nagoya City University Graduate School of Medical Sciences, Japan.
Intern Med. 2013;52(17):1919-21. doi: 10.2169/internalmedicine.52.0721.
A 63-year-old woman had mistakenly drunk detergent stored in a plastic bottle and was transported to our hospital via ambulance due to unconsciousness. In the emergency room, the monitoring electrocardiogram showed complete atrioventricular block and temporary pacing was thus started. Left ventriculography indicated midventricular Takotsubo cardiomyopathy, although coronary angiograms showed a normal appearance. The atrioventricular block was transient, and the reduced left ventricular wall motion gradually recovered. An electrophysiological study performed before discharge showed no abnormalities in the atrioventricular conduction system. In conclusion, we experienced a case of mid-ventricular Takotsubo cardiomyopathy complicated by transient complete atrioventricular block.
一名63岁女性误饮了储存在塑料瓶中的洗涤剂,因昏迷被救护车送往我院。在急诊室,监测心电图显示完全性房室传导阻滞,因此开始临时起搏。左心室造影显示为心室中部Takotsubo心肌病,尽管冠状动脉造影外观正常。房室传导阻滞是短暂的,左心室壁运动减弱逐渐恢复。出院前进行的电生理研究显示房室传导系统无异常。总之,我们遇到了一例合并短暂性完全性房室传导阻滞的心室中部Takotsubo心肌病病例。