Vergel Juliana, Tamayo-Orozco Sebastián, Vallejo-Gómez Andrés Felipe, Posada María Teresa, Restrepo Diana
Universidad CES, Medellín, Colombia.
Clínica Cardio VID, Medellín, Colombia.
Rev Colomb Psiquiatr. 2017 Oct-Dec;46(4):257-262. doi: 10.1016/j.rcp.2016.09.001. Epub 2016 Oct 7.
Stress has been associated with an acute heart failure syndrome of important morbidity and mortality.
Case report and non-systematic review of the relevant literature.
A 65-year-old woman with a history of an untreated generalized anxiety disorder, whom after the violent death of her son presented with oppressive chest pain irradiated to neck and left superior extremity, lasting for more than 30minutes, initial clinical suspect suggests acute coronary syndrome.
Tako-tsubo cardiomyopathy is characterized by a reversible left ventricular dysfunction and wall movement abnormalities, without any compromise of the coronary arteries, associated to high plasma levels of catecholamines which in most cases correlates with an acute stress of emotional or physical type.
Tako-tsubo cardiomyopathy has to be considered by physicians among the differential diagnosis when facing a patient with suspected acute coronary syndrome, especially in post-menopausal women with a history of psychiatric comorbidities such as a generalized anxiety disorder.
应激与一种具有重要发病率和死亡率的急性心力衰竭综合征相关。
病例报告及对相关文献的非系统性综述。
一名65岁女性，有未经治疗的广泛性焦虑症病史，在其儿子暴力死亡后出现压迫性胸痛，放射至颈部和左上臂，持续超过30分钟，最初临床怀疑为急性冠状动脉综合征。
应激性心肌病的特征是可逆性左心室功能障碍和室壁运动异常，冠状动脉无任何损害，与血浆儿茶酚胺水平升高有关，在大多数情况下，这与情绪或身体类型的急性应激相关。
面对疑似急性冠状动脉综合征的患者时，医生在鉴别诊断中必须考虑应激性心肌病，尤其是有精神共病如广泛性焦虑症病史的绝经后女性。
