Iyer Shankar, Shivtarkar Subhash, Udyavar Ameya
Cardiology Registrar.
Consultant Non invasive Cardiology, Hinduja Healthcare Surgicals, Mumbai, Maharashtra.
J Assoc Physicians India. 2016 Apr;64(4):87-89.
Takotsubo cardiomyopathy, also called transient left ventricular apical ballooning syndrome or Gebrochenes-Herz-Syndrome, is a rare entity which may masquerade as acute coronary syndrome (ACS) with sudden onset of chest pain and/or dyspnea, transient left ventricle apical akinesia, electrocardiographic changes typical of ACS and mild increase in cardiac enzymes in the background of normal coronary arteries. Here, we present a case of a 45 year old female who presented with acute onset dyspnea and chest pain with severe ischemic changes on the ECG and raised troponin levels. She was treated with a provisional diagnosis of an ACS but on further workup was found to have Takotsubo cardiomyopathy. Her presentation to the hospital along with relevant clinical findings, electrocardiographic, echocardiographic and angiographic findings are presented in the article.
应激性心肌病，也称为短暂性左心室心尖气球样变综合征或破碎心脏综合征，是一种罕见的病症，可能会伪装成急性冠状动脉综合征（ACS），表现为突然发作的胸痛和/或呼吸困难、短暂性左心室心尖运动障碍、ACS典型的心电图变化以及在冠状动脉正常的情况下心肌酶轻度升高。在此，我们报告一例45岁女性患者，她因急性发作的呼吸困难和胸痛就诊，心电图有严重缺血性改变，肌钙蛋白水平升高。她最初被初步诊断为ACS并接受治疗，但进一步检查发现患有应激性心肌病。本文介绍了她的入院情况以及相关的临床、心电图、超声心动图和血管造影检查结果。
