Watanabe Mika, Izumo Masaki, Akashi Yoshihiro J
Division of Cardiology, Department of Internal Medicine, St. Marianna University School of Medicine.
Int Heart J. 2018 Mar 30;59(2):250-255. doi: 10.1536/ihj.17-586. Epub 2018 Mar 5.
Takotsubo cardiomyopathy is described as a transient reversible cardiomyopathy which typically occurs in older women after emotional or physical stress. This cardiomyopathy is also recognized as a "syndrome" because it develops in conjunction with various diseases. Since the clinical presentation of takotsubo syndrome (TTS) is similar to acute coronary syndrome (ACS), TTS should be distinguished from ischemic heart disease. Although the pathophysiology of TTS has not well been established, a number of its specific features have been suggested. The predictor of mortality in TTS is still unknown. In this review article, we describe a series of treatment decisions in TTS.
应激性心肌病被描述为一种短暂可逆的心肌病,通常发生在老年女性经历情绪或身体应激之后。这种心肌病也被视为一种“综合征”,因为它常与多种疾病并发。由于应激性心肌病综合征(TTS)的临床表现与急性冠状动脉综合征(ACS)相似,因此TTS应与缺血性心脏病相鉴别。尽管TTS的病理生理学尚未完全明确,但已有多项特征被提出。TTS的死亡率预测因素仍不明确。在这篇综述文章中,我们描述了TTS的一系列治疗决策。