Melão Filipa, Nunes José P L, Vasconcelos Mariana, Dias Paula, Almeida Pedro B, Rodrigues Rui, Pinho Teresa, Madureira António, Maciel Maria J
Serviço de Cardiologia, Centro Hospitalar São João, Porto, Portugal.
Serviço de Cardiologia, Centro Hospitalar São João, Porto, Portugal; Faculdade de Medicina da Universidade do Porto, Portugal.
Rev Port Cardiol. 2014 Mar;33(3):175.e1-4. doi: 10.1016/j.repc.2013.10.012. Epub 2014 Mar 27.
Stress-induced cardiomyopathy, also known as 'broken heart syndrome' or Takotsubo cardiomyopathy, is characterized by transient systolic dysfunction of the apical and/or mid segments of the left ventricle, in the absence of significant coronary artery disease. We report the case of a 56-year-old male patient with chronic obstructive pulmonary disease (COPD), with stress-induced cardiomyopathy associated with the use of ipratropium bromide, administered in the context of an acute exacerbation of COPD.
应激性心肌病，也被称为“心碎综合征”或Takotsubo心肌病，其特征是左心室心尖和/或中间段出现短暂性收缩功能障碍，而不存在明显的冠状动脉疾病。我们报告了一例56岁男性慢性阻塞性肺疾病（COPD）患者的病例，该患者在COPD急性加重期使用异丙托溴铵后出现了应激性心肌病。
