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应激性心肌病所致室间隔缺损

Ventricular Septal Defect from Takotsubo Syndrome.

作者信息

Lu Daniel Y, Caplow Julie, Quatromoni Neha, Forde-McLean Rhondalyn, Owens Anjali Tiku

机构信息

Department of Internal Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA 19104, USA.

Department of Internal Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA 19104, USA; Division of Cardiology, Hospital of the University of Pennsylvania, Philadelphia, PA 19104, USA.

出版信息

Case Rep Cardiol. 2016;2016:2693062. doi: 10.1155/2016/2693062. Epub 2016 Aug 3.

DOI:10.1155/2016/2693062
PMID:27563471
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4987479/
Abstract

Takotsubo Syndrome is a transient condition characterized by left ventricular systolic dysfunction with apical akinesis/dyskinesis and ballooning. Although the prognosis with medical management is excellent in most cases, rare cases of serious complications can occur. We present here a case of a 71-year-old woman presenting with acute decompensated heart failure with initial findings consistent with a myocardial infarction, who was found instead to have an acute ventricular septal defect as a complication of Takotsubo Syndrome.

摘要

应激性心肌病是一种短暂性病症，其特征为左心室收缩功能障碍伴心尖运动减弱/运动障碍及膨出。尽管大多数情况下药物治疗的预后良好，但仍可能发生罕见的严重并发症。我们在此报告一例71岁女性患者，以急性失代偿性心力衰竭就诊，初始检查结果与心肌梗死相符，但最终发现是应激性心肌病并发急性室间隔缺损。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/432f/4987479/cc8e8bc5abcd/CRIC2016-2693062.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/432f/4987479/cc8e8bc5abcd/CRIC2016-2693062.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/432f/4987479/cc8e8bc5abcd/CRIC2016-2693062.001.jpg

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本文引用的文献

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Current state of knowledge on Takotsubo syndrome: a Position Statement from the Taskforce on Takotsubo Syndrome of the Heart Failure Association of the European Society of Cardiology.Takotsubo 综合征的现有知识状况：欧洲心脏病学会心力衰竭协会 Takotsubo 综合征工作组的立场声明。
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Takotsubo 心肌病的预后因素：系统综述。
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Dynamic Left Intraventricular Obstruction Phenotype in Takotsubo Syndrome.Takotsubo综合征中的动态左心室内梗阻表型
J Clin Med. 2021 Jul 22;10(15):3235. doi: 10.3390/jcm10153235.
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Non-atherosclerotic causes of acute coronary syndromes.非动脉粥样硬化性急性冠状动脉综合征的病因。
Nat Rev Cardiol. 2020 Apr;17(4):229-241. doi: 10.1038/s41569-019-0273-3. Epub 2019 Oct 3.
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International Expert Consensus Document on Takotsubo Syndrome (Part II): Diagnostic Workup, Outcome, and Management.国际 Takotsubo 综合征专家共识文件（第二部分）：诊断检查、预后和管理。
Eur Heart J. 2018 Jun 7;39(22):2047-2062. doi: 10.1093/eurheartj/ehy077.
Takotsubo（应激性）心肌病的临床特征和转归。
N Engl J Med. 2015 Sep 3;373(10):929-38. doi: 10.1056/NEJMoa1406761.
4
Takotsubo cardiomyopathy, a new concept of cardiomyopathy: clinical features and pathophysiology.应激性心肌病，一种心肌病的新概念：临床特征与病理生理学
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J Am Soc Echocardiogr. 2015 Jan;28(1):57-74. doi: 10.1016/j.echo.2014.08.020. Epub 2014 Oct 1.
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