Anantha Narayanan Mahesh, Kandasamy Vimalkumar Veerappan, Chandraprakasam Satish, Mooss Aryan
Department of Internal Medicine, Creighton University School of Medicine 601 N 30th Street No. 5800, Omaha, NE 68131, USA.
The Cardiac Center of Creighton University, 3006 Webster Street, Omaha, NE 68131, USA.
Case Rep Med. 2014;2014:796202. doi: 10.1155/2014/796202. Epub 2014 May 26.
We present a case of reversible stress cardiomyopathy in a surgical patient, described here as a forme fruste due to its atypical features. It is important to recognize such unusual presentation of stress cardiomyopathy that mimics acute coronary syndrome. Stress cardiomyopathy commonly presents as acute coronary syndrome and is characterized by typical or atypical variants of regional wall motion abnormalities. We report a 60-year-old Caucasian male with reversible stress cardiomyopathy following a sternal fracture fixation. Although the patient had several typical features of stress cardiomyopathy including physical stress, ST-segment elevation, elevated cardiac biomarkers and normal epicardial coronaries, there were few features that were atypical, including unusual age, gender, absence of regional wall motion abnormalities, high lateral ST elevation, and high troponin-ejection fraction product. In conclusion, this could represent a forme fruste of stress cardiomyopathy.
我们报告一例外科手术患者的可逆性应激性心肌病病例，因其具有非典型特征，在此被描述为顿挫型。认识到这种酷似急性冠状动脉综合征的应激性心肌病的不寻常表现很重要。应激性心肌病通常表现为急性冠状动脉综合征，其特征为区域性室壁运动异常的典型或非典型变体。我们报告一名60岁的白种男性，在胸骨骨折固定术后发生可逆性应激性心肌病。尽管该患者有应激性心肌病的几个典型特征，包括身体应激、ST段抬高、心脏生物标志物升高及心外膜冠状动脉正常，但也有一些非典型特征，包括不寻常的年龄、性别、无区域性室壁运动异常、高侧壁ST段抬高以及高肌钙蛋白-射血分数乘积。总之，这可能代表应激性心肌病的顿挫型。
