AP-HM-Service de Médecine et Santé au Travail, 264, rue Saint-Pierre,Marseille, France.
Aix-Marseille Université-EA 3279 27, boulevard Jean Moulin,Marseille Cedex 5, France.
Occup Med (Lond). 2019 Apr 13;69(2):146-148. doi: 10.1093/occmed/kqz005.
Takotsubo syndrome is also referred to as stress cardiomyopathy and typically occurs in females aged 55 years and older. This demographic represents a significant part of the healthcare workforce and they have over recent decades experienced increasing levels of violence from patients and clients.
Our study describes a Takotsubo syndrome that occurred following an incident of physical and verbal aggression at work in a teen health centre.
We report the case of a 56-year-old female community educator who suffered chest pain 48 h after suffering an aggressive incident at work. She had no history of cardiovascular disease. During hospitalization she was investigated with an electrocardiogram, echocardiography, coronary angiography, left ventriculography and a cardiac magnetic resonance imaging. Examinations confirmed the diagnosis of Takotsubo cardiomyopathy. This was deemed to be a work-related accident. With the help of her occupational physician, the patient was able to return to work with work adjustments.
Increasing levels of violent behaviours towards staff in the health care sector underscores the need for measures in the workplace to help prevent precipitation of this syndrome in workers.
Takotsubo 综合征也被称为应激性心肌病，通常发生在 55 岁及以上的女性中。这一年龄段的人是医疗保健工作者的重要组成部分，而近年来，他们经历了越来越多来自患者和客户的暴力行为。
我们的研究描述了一例 Takotsubo 综合征，该综合征发生在青少年健康中心工作时遭受身体和言语攻击之后。
我们报告了一例 56 岁的社区教育工作者的病例，她在工作中遭受攻击后 48 小时出现胸痛。她没有心血管疾病史。住院期间，她接受了心电图、超声心动图、冠状动脉造影、左心室造影和心脏磁共振成像检查。检查结果证实了 Takotsubo 心肌病的诊断。这被认为是与工作相关的事故。在她的职业医生的帮助下，患者通过工作调整得以重返工作岗位。
医疗保健部门工作人员遭受的暴力行为不断增加，这突显了在工作场所采取措施帮助预防该综合征在工作人员中发生的必要性。
