醛固酮会损害心脏吗？一例新诊断的原发性醛固酮增多症患者并发应激性心肌病
Can aldosterone break your heart? Takotsubo cardiomyopathy in a patient with newly diagnosed primary aldosteronism.
作者信息
Zoltowska Dominika M, Agrawal Yashwant, Kalavakunta Jagadeesh K
机构信息
Department of Internal Medicine, Western Michigan University, School of Medicine, Kalamazoo, Michigan, USA.
Department of Internal Medicine, Western Michigan University Homer Stryker School of Medicine, Kalamazoo, Michigan, USA.
出版信息
BMJ Case Rep. 2018 Feb 5;2018:bcr-2017-223472. doi: 10.1136/bcr-2017-223472.
Abstract
We report a case of a 47-year-old Caucasian woman with medical history of hypertension and hypokalemia, who presented to Emergency Room with symptoms resembling acute coronary syndrome ST-segment elevation myocardial infarction. Coronary angiogram revealed clear coronary arteries and left ventriculogram confirmed the diagnosis of Takotsubo cardiomyopathy. She was treated conservatively with good clinical outcome. Subsequent testing revealed underlying primary aldosteronism.
摘要
我们报告一例47岁的白种女性病例，其有高血压和低钾血症病史，因出现类似急性冠状动脉综合征ST段抬高型心肌梗死的症状而就诊于急诊室。冠状动脉造影显示冠状动脉清晰，左心室造影确诊为应激性心肌病。她接受了保守治疗，临床结果良好。随后的检查发现潜在的原发性醛固酮增多症。
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