癫痫持续状态引发的应激性心肌病：病例报告及文献综述
Takotsubo cardiomyopathy triggered by status epilepticus: case report and literature review.
作者信息
Nandal Savvy, Castles Anastasia, Asrar Ul Haq Muhammad, van Gaal William
机构信息
Department of Cardiology, The Northern Health, Epping, Victoria, Australia.
出版信息
BMJ Case Rep. 2019 Jan 29;12(1):e225924. doi: 10.1136/bcr-2018-225924.
Abstract
Takotsubo cardiomyopathy (TC) is acute stress-induced cardiomyopathy with characteristic transient wall motion abnormalities. TC has a clinical presentation similar to an acute coronary syndrome, including chest pain or dyspnoea, ECG changes and elevated cardiac enzymes. TC often occurs after emotional stress. There are approximately 50 TC cases reported related to seizure activity, and our review revealed 15 articles which were associated with status epilepticus. This condition can be a serious complication of seizures. We report a case of TC after status epilepticus in a patient who had been seizure-free for 20 years.
摘要
应激性心肌病（TC）是一种急性应激诱导的心肌病，具有特征性的短暂室壁运动异常。TC的临床表现与急性冠状动脉综合征相似，包括胸痛或呼吸困难、心电图改变和心肌酶升高。TC常发生于情绪应激后。据报道，约有50例TC病例与癫痫发作有关，而我们的综述发现有15篇文章与癫痫持续状态相关。这种情况可能是癫痫发作的严重并发症。我们报告一例癫痫持续状态后发生TC的病例，该患者已20年无癫痫发作。
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