Kawano Hiroaki, Kinoshita Michiko, Kondo Akio, Yamada Yasuhito, Inoue Masaya
Middle East J Anaesthesiol. 2016 Jun;23(5):557-61.
Takotsubo cardiomyopathy, also known as stress-induced cardiomyopathy, is a disease in which the patient exhibits transient, reversible left ventricular dysfunction that is triggered by physical or emotional stress. Prolongation of QT interval, a risk factor for arrhythmia and sudden death, has been reported to be prevalent among patients with Takotsubo cardiomyopathy and is also observed in those with severe anorexia nervosa. In this report, we describe the rare case of a 30-year-old female patient with anorexia nervosa who developed Torsades de Pointes associated with Takotsubo cardiomyopathy during emergence from general anesthesia for emergency exploratory laparotomy.
应激性心肌病,又称应激性心肌病,是一种患者表现出由身体或情绪应激触发的短暂、可逆性左心室功能障碍的疾病。QT间期延长是心律失常和猝死的危险因素,据报道在应激性心肌病患者中普遍存在,在重度神经性厌食症患者中也有观察到。在本报告中,我们描述了一例罕见病例,一名30岁神经性厌食症女性患者,在急诊剖腹探查术全身麻醉苏醒过程中发生了与应激性心肌病相关的尖端扭转型室性心动过速。