Karamchandani Kunal, Bortz Brandon, Vaida Sonia
Department of Anesthesiology and Perioperative Medicine, Penn State Hershey Medical Center, Hershey, PA, USA.
Am J Case Rep. 2016 Sep 23;17:682-685. doi: 10.12659/ajcr.898937.
BACKGROUND Acute pulmonary edema in a pregnant patient is associated with significant morbidity and mortality. Takotsubo syndrome, or stress-induced cardiomyopathy, is a rare cause of acute pulmonary edema in a pregnant patient, especially prior to delivery of the fetus. CASE REPORT We describe a case of a pregnant patient who presented with acute pulmonary edema and eclampsia and was found to have Takotsubo syndrome. To the best of our knowledge, eclampsia as a precipitating factor for Takotsubo syndrome has not been described in literature. CONCLUSIONS Clinicians taking care of pregnant patients should be aware of the potential link between eclampsia and Takotsubo cardiomyopathy. Prompt correction of the precipitating cause along with supportive management as described is the key to a successful outcome.
背景 妊娠患者急性肺水肿与显著的发病率和死亡率相关。Takotsubo综合征，即应激性心肌病，是妊娠患者急性肺水肿的罕见病因，尤其是在胎儿分娩前。病例报告 我们描述了一例妊娠患者，该患者出现急性肺水肿和子痫，被发现患有Takotsubo综合征。据我们所知，子痫作为Takotsubo综合征的诱发因素在文献中尚未有描述。结论 照顾妊娠患者的临床医生应意识到子痫与Takotsubo心肌病之间的潜在联系。如所述，迅速纠正诱发原因并进行支持性治疗是取得成功结果的关键。
