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上下消化道内镜检查后发生的应激性心肌病：一例病例报告及文献复习

Takotsubo cardiomyopathy after an upper and lower endoscopy: a case report and review of the literature.

作者信息

Patel Ashruta, Namn Yunseok, Shah Shawn L, Scherl Ellen, Wan David W

机构信息

Philadelphia College of Osteopathic Medicine - Georgia Campus, 625 Peachtree Road NW, Suwanee, GA, 30024, USA.

Department of Medicine, Division of Gastroenterology and Hepatology, New York-Presbyterian Hospital/Weill Cornell Medicine, 1305 York Avenue, New York, NY, 10022, USA.

出版信息

J Med Case Rep. 2019 Mar 25;13(1):81. doi: 10.1186/s13256-019-2014-y.

DOI:10.1186/s13256-019-2014-y
PMID:30905321
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6432745/
Abstract

BACKGROUND

Gastrointestinal endoscopies are safe and follow guidelines that emphasize patient care. Although adverse outcomes are rare, high-risk patients may be predisposed to certain events.

CASE PRESENTATION

We report a unique case of a Caucasian woman with takotsubo cardiomyopathy following an upper and lower endoscopy.

CONCLUSIONS

Our report suggests the importance of understanding possible endoscopic complications in patients who may experience stress cardiomyopathy.

摘要

背景

胃肠道内镜检查是安全的，并且遵循强调患者护理的指南。尽管不良后果很少见，但高危患者可能易发生某些事件。

病例报告

我们报告了一例独特的病例，一名患有应激性心肌病的白人女性在接受上下消化道内镜检查后发病。

结论

我们的报告表明，了解可能发生应激性心肌病的患者的内镜检查并发症的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c67/6432745/f3cb2240b16a/13256_2019_2014_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c67/6432745/b56f504f1f24/13256_2019_2014_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c67/6432745/2c3d35ac4fc2/13256_2019_2014_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c67/6432745/8117b38dccb5/13256_2019_2014_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c67/6432745/f3cb2240b16a/13256_2019_2014_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c67/6432745/b56f504f1f24/13256_2019_2014_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c67/6432745/2c3d35ac4fc2/13256_2019_2014_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c67/6432745/8117b38dccb5/13256_2019_2014_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c67/6432745/f3cb2240b16a/13256_2019_2014_Fig4_HTML.jpg

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Eur Heart J. 2018 Jun 7;39(22):2032-2046. doi: 10.1093/eurheartj/ehy076.
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A Clinical Perspective of the Takotsubo Syndrome.应激性心肌病的临床视角。
Heart Fail Clin. 2016 Oct;12(4):507-20. doi: 10.1016/j.hfc.2016.06.003. Epub 2016 Jul 30.
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Takotsubo cardiomyopathy systematic review: Pathophysiologic process, clinical presentation and diagnostic approach to Takotsubo cardiomyopathy.
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Acute Takotsubo cardiomyopathy as a complication of transoesophageal echocardiogram.急性Takotsubo心肌病作为经食管超声心动图的并发症
Br J Cardiol. 2021 Jul 14;28(3):33. doi: 10.5837/bjc.2021.033. eCollection 2021.
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