Santoro Francesco, Ieva Riccardo, Ferraretti Armando, Carapelle Elena, De Gennaro Luisa, Specchio Luigi Maria, Di Biase Matteo, Brunetti Natale Daniele
aCardiology Department bNeurology Department, University of Foggia, Foggia, Italy.
J Cardiovasc Med (Hagerstown). 2016 Dec;17 Suppl 2:e266-e268. doi: 10.2459/JCM.0b013e328364dcbc.
: We report the case of early recurrence of Tako-Tsubo cardiomyopathy in an elderly woman with amyotrophic lateral sclerosis triggered by different stressors. A first episode with typical apical ballooning was anticipated by an emotional stress; a second, characterized by systolic anterior motion of the mitral valve associated with mitral regurgitation and severe intra-ventricular gradient, was precipitated by surgical stress and hypovolemia. We therefore hypothesize both a possible link between amyotrophic lateral sclerosis and Tako-Tsubo cardiomyopathy, and between different stressors and different Tako-Tsubo patterns.
我们报告了一例患有肌萎缩侧索硬化症的老年女性，因不同应激源引发的应激性心肌病早期复发的病例。第一次发作表现为典型的心尖部气球样变，由情绪应激诱发；第二次发作的特征是二尖瓣收缩期前向运动伴二尖瓣反流和严重的心室内压差，由手术应激和血容量不足诱发。因此，我们推测肌萎缩侧索硬化症与应激性心肌病之间可能存在联系，不同的应激源与不同的应激性心肌病模式之间也可能存在联系。
