完全性心脏传导阻滞情况下的应激性心肌病
Takotsubo cardiomyopathy in the setting of complete heart block.
作者信息
Afzal Aasim, Watson John, Choi James W, Schussler Jeffrey M, Assar Manish D
机构信息
Division of Cardiology, Baylor University Medical Center, The Baylor Scott & White Heart Vascular HospitalDallasTexas.
Division of Cardiology, Texas A&M College of Medicine Health Science CenterDallasTexas.
出版信息
Proc (Bayl Univ Med Cent). 2018 Oct 22;31(4):502-505. doi: 10.1080/08998280.2018.1499314. eCollection 2018 Oct.
Abstract
Few cases of coincident takotsubo cardiomyopathy and complete heart block (CHB) have been reported. A 62-year-old woman presented with typical chest pain and was found to have CHB with a left ventricular ejection fraction of 35% and apical ballooning on ventriculogram. The patient was transvenously paced and a permanent biventricular pacemaker was placed when the CHB did not resolve. Repeat echocardiography 15 days after the event showed the ejection fraction to be 50%. This case highlights management strategies in this unique situation.
摘要
很少有关于应激性心肌病与完全性心脏传导阻滞（CHB）同时发生的病例报道。一名62岁女性因典型胸痛就诊，被发现患有CHB，左心室射血分数为35%，心室造影显示心尖部气球样改变。患者接受了经静脉起搏治疗，当CHB未缓解时植入了永久性双心室起搏器。事件发生15天后复查超声心动图显示射血分数为50%。该病例突出了这种特殊情况下的管理策略。
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