Muksinova M D, Shilova A S, Gilyarov M Y, Konstantinova E V, Nesterov A P, Udovichenko A E, Svet A V
Federal State Budgetary Educational Institution of Higher Education "I. M. Sechenov First Moscow State Medical University" of the Ministry of Health of the Russian Federation.
State Budgetary Institution of Health Care "N. I. Pirogov Municipal Hospital #1 of the Moscow Health Care Department".
Kardiologiia. 2017 Dec;57(12):97-104.
Takotsubo cardiomyopathy (TCM) is a well-known complication of many conditions associated with emotional or physical stress. Abnormal catecholamine release has been hypothesized to be the main cause of TCM. Myocardial infarction (MI) is associated with release of large amounts of catecholamines. We present here two cases in which patients simultaneously suffered from acute MI and TCM. In these elderly women without prior history of severe somatic diseases we have not revealed any external stressing factor responsible for the initiation of the disease. Therefore, we have considered primary coronary event (acute MI) to be a triggering factor of TCM manifestation.
应激性心肌病（TCM）是许多与情绪或身体应激相关疾病的一种众所周知的并发症。异常儿茶酚胺释放被认为是应激性心肌病的主要病因。心肌梗死（MI）与大量儿茶酚胺释放有关。我们在此报告两例患者同时患有急性心肌梗死和应激性心肌病的病例。在这些无严重躯体疾病既往史的老年女性中，我们未发现任何导致疾病发作的外部应激因素。因此，我们认为原发性冠状动脉事件（急性心肌梗死）是应激性心肌病表现的触发因素。
