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应激性心肌病并发左心室流出道动态梗阻、心源性休克和室间隔破裂。

Stress-Induced Cardiomyopathy Complicated by Dynamic Left Ventricular Outflow Obstruction, Cardiogenic Shock, and Ventricular Septal Rupture.

机构信息

Section of Cardiovascular Medicine, Heart and Vascular Center, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire, USA.

New England Heart and Vascular Institute, Catholic Medical Center, Manchester, New Hampshire, USA.

出版信息

Can J Cardiol. 2019 Feb;35(2):229.e7-229.e9. doi: 10.1016/j.cjca.2018.12.005. Epub 2018 Dec 7.

Abstract

We describe the case of a 68-year-old woman presenting with stress cardiomyopathy (SCM), with concomitant cardiogenic shock, left ventricular outflow tract obstruction, and ventricular septal rupture. These complications have not simultaneously been reported in a single SCM case. The importance of early diagnosis of serial complications of SCM and using mechanical circulatory support as a treatment strategy are highlighted.

摘要

我们描述了一例 68 岁女性患者的病例,其表现为应激性心肌病(SCM),并伴有心源性休克、左心室流出道梗阻和室间隔破裂。这些并发症在单个 SCM 病例中尚未同时报道过。强调了早期诊断 SCM 的系列并发症并使用机械循环支持作为治疗策略的重要性。

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