经皮左心室辅助装置治疗急性胰腺炎诱发的应激性心肌病和心源性休克。
Acute pancreatitis-induced takotsubo cardiomyopathy and cardiogenic shock treated with a percutaneous left ventricular assist device.
作者信息
Koop Andree H, Bailey Ryan E, Lowman Philip E
机构信息
Department of Critical Care Medicine, Mayo Clinic's Campus in Florida, Jacksonville, Florida, USA.
出版信息
BMJ Case Rep. 2018 Oct 12;2018:bcr-2018-225877. doi: 10.1136/bcr-2018-225877.
Abstract
A 63-year-old man was admitted for severe acute pancreatitis. On day 3 of hospitalisation, he developed shortness of breath and acute pulmonary oedema. Echocardiogram revealed global hypokinesis with a left ventricular ejection fraction of 20%, and he was diagnosed with takotsubo cardiomyopathy. He developed cardiogenic shock which was treated successfully with a percutaneous left ventricular assist device. His left ventricular ejection fraction improved by hospital follow-up 3 weeks later.
摘要
一名63岁男性因严重急性胰腺炎入院。住院第3天，他出现呼吸急促和急性肺水肿。超声心动图显示全心运动减弱，左心室射血分数为20%，他被诊断为应激性心肌病。他发展为心源性休克，经皮左心室辅助装置治疗成功。3周后医院随访时，他的左心室射血分数有所改善。
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