Omar Sabry, Ali Emad, Mazek Haitham, Mahmoud Tashfeen, Soontrapa Suthipong, Suarez Jose
Department of Internal Medicine, Texas Tech University Health Science Center, Lubbock, Texas.
Proc (Bayl Univ Med Cent). 2015 Apr;28(2):194-5. doi: 10.1080/08998280.2015.11929227.
Takotsubo cardiomyopathy is an uncommon clinical entity, also called apical ballooning syndrome, characterized by transient systolic dysfunction of the apical and/or mid segments of the left ventricle. We report a case that highlights takotsubo syndrome in the setting of thyrotoxicosis that required thyroidectomy. The association of takotsubo syndrome and hyperthyroidism has been reported before. We found 13 previously reported cases of thyrotoxicosis-induced cardiomyopathy, most associated with Grave's disease and none treated with thyroidectomy. Awareness of this possible association is important in establishing the diagnosis and instituting proper management.
应激性心肌病是一种罕见的临床病症,也称为心尖球囊综合征,其特征为左心室心尖和/或中间段的短暂收缩功能障碍。我们报告一例病例,该病例突出了在甲状腺毒症情况下需要进行甲状腺切除术的应激性心肌病。此前已有应激性心肌病与甲状腺功能亢进症相关联的报道。我们发现了13例先前报道的甲状腺毒症性心肌病病例,大多数与格雷夫斯病相关,且均未接受甲状腺切除术治疗。认识到这种可能的关联对于确立诊断和进行适当治疗很重要。