Korabathina Ravikiran, Porcadas Jamie, Mishkin Michael, Turner Angela, Labovitz Arthur J
Tex Heart Inst J. 2018 Aug 1;45(4):247-251. doi: 10.14503/THIJ-17-6572. eCollection 2018 Aug.
Takotsubo cardiomyopathy can present with transient apical, midventricular, or basal left ventricular ballooning patterns. Reported recurrences of this cardiomyopathy are few. We present the cases of 2 elderly women who each had 3 episodes of takotsubo cardiomyopathy in various ballooning patterns. We explore the potential pathophysiologic mechanisms, and we discuss the best treatment approach for this disease, which carries a substantial risk of in-hospital complications.
应激性心肌病可表现为短暂的心尖部、心室中部或左心室基底部气球样改变模式。报道的这种心肌病复发情况较少。我们报告了2例老年女性的病例,她们每人都有3次不同气球样改变模式的应激性心肌病发作。我们探讨了潜在的病理生理机制,并讨论了针对这种具有较高院内并发症风险疾病的最佳治疗方法。