Slimani Ghizlane, Lakbiri Hicham, Sekkat Fatima Zahra
Clinique Universitaire de Psychiatrie Ar-Razi, Université Mohammed V de Rabat, Maroc.
Pan Afr Med J. 2017 May 30;27:70. doi: 10.11604/pamj.2017.27.70.12434. eCollection 2017.
Stress cardiomyopathy or Tako Tsubo cardiomyopathy is a cardiac pathology evoking acute coronary syndrome characterized by electrocardiographic signs, cardiac enzyme elevation and no obstructive coronary lesions. It generally affects postmenopausal women and it usually occurs after periods of intense stress. Disease onset is widely variable, ranging from anginal pain (most common) to cardiogenic shock. Exact pathophysiological mechanism continues to be debated. Various hypotheses have been posited. Abrupt elevation of adrenaline levels appears to be the most credible. In particular, there is no consensus on treatment and prevention. Questions may then be asked about the existence of an underlying psychiatric pathology or a personality predisposition and, therefore, about the role of the psychiatrist in the management of this condition.
应激性心肌病或Takotsubo心肌病是一种引发急性冠状动脉综合征的心脏病理状态，其特征为心电图征象、心肌酶升高且无阻塞性冠状动脉病变。它通常影响绝经后女性，且通常在经历强烈应激期后发生。疾病发作差异很大，从心绞痛（最常见）到心源性休克不等。确切的病理生理机制仍在争论中。已经提出了各种假说。肾上腺素水平的突然升高似乎是最可信的。特别是，在治疗和预防方面尚无共识。于是可能会有人质疑是否存在潜在的精神病理状态或人格易感性，进而质疑精神科医生在这种疾病管理中的作用。
