Menezes Miguel Nobre, Silva Doroteia, Almeida Ana G, Pinto Fausto J, Brito Dulce
Departamento de Cardiologia, Hospital Santa Maria, Centro Hospitalar de Lisboa Norte, CCUL, Universidade de Lisboa, Lisboa, Portugal.
Departamento de Cardiologia, Hospital Santa Maria, Centro Hospitalar de Lisboa Norte, CCUL, Universidade de Lisboa, Lisboa, Portugal.
Rev Port Cardiol. 2015 Jul-Aug;34(7-8):499.e1-3. doi: 10.1016/j.repc.2015.01.007. Epub 2015 Jul 9.
Stress cardiomyopathy and myocardial infarction are generally regarded as mutually exclusive diagnoses. We report the case of a 54-year-old woman who presented with acute chest pain. Her echocardiogram and ventriculography were typical of stress cardiomyopathy, but she had one subocclusive coronary lesion, a highly significant rise in troponin and a subendocardial myocardial infarction scar documented on cardiac magnetic resonance. This is a rare case of concomitant myocardial infarction and stress cardiomyopathy, in which the acute coronary syndrome itself may have been the stressor, given the absence of other identifiable causes.
应激性心肌病和心肌梗死通常被认为是相互排斥的诊断。我们报告了一例54岁女性，她因急性胸痛就诊。她的超声心动图和心室造影表现为典型的应激性心肌病，但她有一处次全闭塞性冠状动脉病变、肌钙蛋白显著升高以及心脏磁共振显示的内膜下心肌梗死瘢痕。这是一例罕见的同时合并心肌梗死和应激性心肌病的病例，鉴于不存在其他可识别的病因，急性冠状动脉综合征本身可能就是应激源。
