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肥胖症手术后早期,应激性心肌病作为假性急腹症的病因——两例报告

Takotsubo Syndrome as a Cause of False Acute Abdomen in the Early Postoperative Period After Bariatric Surgery-a Report of Two Cases.

作者信息

Viegas Fabio, Viegas Carla, França Enio, Kleuser Klaus, de Barros Fernando

机构信息

Copa Dor Hospital, Rio de Janeiro, RJ, Brazil.

FIOCRUZ/Bariatric Surgery Department - Andarai Federal Hospital, 118, João Lira Street/apt 102, Leblon, Rio de Janeiro, RJ, 22430-210, Brazil.

出版信息

Obes Surg. 2016 Oct;26(10):2547-51. doi: 10.1007/s11695-016-2326-6.

Abstract

Takotsubo syndrome, also known as broken-heart syndrome, stress-induced cardiomyopathy or transient apical ballooning syndrome, is a transient disorder characterized by segmental left ventricular failure in the absence of obstructive coronary artery disease. Most cases of Takotsubo syndrome are caused by acute stress that leads to a sudden, temporary weakening of the cardiac musculature. This stress triggers a rise in circulating catecholamine levels that results in acute ventricular dysfunction. In this report, we describe two cases of Takotsubo syndrome in the early postoperative period after bariatric surgery.

摘要

应激性心肌病,又称心碎综合征、应激性心肌病或短暂性心尖气球样变综合征,是一种短暂性疾病,其特征为在无阻塞性冠状动脉疾病的情况下出现节段性左心室功能衰竭。应激性心肌病的大多数病例由急性应激引起,导致心肌突然、暂时变弱。这种应激引发循环儿茶酚胺水平升高,进而导致急性心室功能障碍。在本报告中,我们描述了两例减肥手术后早期发生应激性心肌病的病例。

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