Makoff-Rabin Adi, Eyal Nir, Ben-Dov Nissan, Bitterman Arie
Department of Surgery, Carmel Medical Center, Haifa, Israel.
Harefuah. 2014 Nov;153(11):646-7, 688.
We report a case of Takotsubo cardiomyopathy [TCM] occurrence in a 75-years-old female after surgical intervention for the treatment of bowel obstruction. Approximately 24 hours after the procedure, the hemodynamic and respiratory status of the patient deteriorated. Marked ECG ST segment elevation, and troponin levels were moderately elevated in a pattern suitable for ST elevation myocardial infarction [MI). Coronary angiogram showed no sign of coronary obstruction, and an angiography of the left ventricle, presented a template of apical ballooning highly suspicious of Takotsubo syndrome.
我们报告一例75岁女性在接受肠梗阻手术治疗后发生应激性心肌病(TCM)的病例。术后约24小时,患者的血流动力学和呼吸状态恶化。心电图显示ST段明显抬高,肌钙蛋白水平中度升高,呈符合ST段抬高型心肌梗死(MI)的模式。冠状动脉造影未显示冠状动脉阻塞迹象,左心室造影显示心尖气球样变模式,高度怀疑应激性心肌病综合征。