减停抗焦虑药物诱发的应激性心肌病：一例报告

Takotsubo Cardiomyopathy Precipitated by Tapering of Anxiolytic Medication: A Case Report.

作者信息

Lafferty Christopher J, Lafferty Kristen M, Bhat Tariq, Olson Peter C, Atoot Adam, Daneshvar Farshid, McCord Donald A

机构信息

Department of Anesthesiology, Perioperative Care, and Pain Medicine, New York University Langone Medical Center, New York, NY, USA.

College of Osteopathic Medicine, Nova Southeastern University, Fort Lauderdale, FL, USA.

出版信息

Clin Med Insights Cardiol. 2017 Dec 10;11:1179546817746643. doi: 10.1177/1179546817746643. eCollection 2017.

DOI:10.1177/1179546817746643

PMID:29270038

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5731616/

Abstract

Takotsubo cardiomyopathy is a transient apical ballooning of the left ventricle typically with electrocardiographic changes and enzyme release without evidence of obstructive coronary artery disease. It typically occurs in postmenopausal women and may have a predilection for patients with anxiety disorders. The following is a case in which we believe takotsubo cardiomyopathy was induced by the tapering of antianxiety medications. We feel that health care professionals should be aware of this possibility in such a patient population especially when they have demonstrated cardiovascular symptomatology.

摘要

应激性心肌病是左心室的短暂性心尖部气球样变，通常伴有心电图改变和酶释放，而无阻塞性冠状动脉疾病的证据。它通常发生在绝经后女性中，可能更易发生于焦虑症患者。以下是一例我们认为是由抗焦虑药物逐渐减量诱发应激性心肌病的病例。我们认为医护人员应意识到在这类患者群体中存在这种可能性，尤其是当他们已表现出心血管症状时。