Mihalcea-Danciu Mihaela, Zupan Michel, Le Borgne Pierrick, Bilbault Pascal
Department of Emergency, Hautepierre Hospital, University Hospital of Strasbourg, Strasbourg, France.
Department of Cardiology, Nouvel Hôpital Civil, University Hospital of Strasbourg, Strasbourg, France.
J Emerg Trauma Shock. 2018 Apr-Jun;11(2):143-145. doi: 10.4103/JETS.JETS_13_17.
Takotsubo cardiomyopathy (TTC), also known as transient left ventricular ballooning syndrome, is a stress-induced-cardiomyopathy. It is precipitated by emotional or physical stress and is characterized by normal coronary arteries and transient regional wall motion abnormalities. Variants of TTC include apical ballooning syndrome and, less commonly, mid, basal, and local variants. New onset heart failure or acute coronary syndromes are a common presentation of TTC. Arrhythmias such as VT, VF, and torsade de pointes have also been reported. We present here a 42-year-old man with an inverted Takotsubo variant with pulmonary edema and transient accelerated idioventricular rhythm. He was initially admitted in the Emergency Department for acute and non-complicated appendicitis. Coronary angiogram showed normal coronary arteries and left ventriculography revealed a reverse variant of TTC. The patient had completely recovered. Myocarditis was ruled out by cardiac magnetic resonance imaging.
应激性心肌病（TTC），也称为短暂性左心室气球样变综合征，是一种应激诱导的心肌病。它由情绪或身体应激诱发，其特征是冠状动脉正常以及短暂的节段性室壁运动异常。TTC的变体包括心尖气球样变综合征，较少见的还有中部、基部和局灶性变体。新发心力衰竭或急性冠状动脉综合征是TTC的常见表现。也有报告称出现室性心动过速（VT）、心室颤动（VF）和尖端扭转型室性心动过速等心律失常。我们在此报告一名42岁男性，患有伴有肺水肿和短暂加速性室性自主心律的倒置型TTC变体。他最初因急性非复杂性阑尾炎入住急诊科。冠状动脉造影显示冠状动脉正常，左心室造影显示为TTC的反向变体。患者已完全康复。心脏磁共振成像排除了心肌炎。
