Renko Abagayle E, Doyle Warren C, Sokoloski Paul W
Penn State Milton S. Hershey Medical Center, Department of Emergency Medicine, Hershey, PA 17033, USA.
Case Rep Emerg Med. 2019 Jun 12;2019:7270426. doi: 10.1155/2019/7270426. eCollection 2019.
Takotsubo Cardiomyopathy (TCM) should be considered in the differential diagnosis for patients with cardiovascular symptoms not only following emotional trauma but also following motor vehicle accidents. A 45-year-old woman presented with chest pain following a motor vehicle accident. While she had an elevated troponin level and an extensive history of cardiac disease, her electrocardiogram was normal. Echocardiogram, however, demonstrated transiently reduced left ventricular systolic function with mid to apical hypokinesis consistent with TCM. We emphasize the use of a diagnostic score and point of care focused cardiac ultrasound (FOCUS) to expedite the recognition, evaluation, and treatment of suspected TCM in an Emergency Department setting.
对于出现心血管症状的患者，无论是在情绪创伤后还是在机动车事故后，鉴别诊断时都应考虑应激性心肌病（TCM）。一名45岁女性在机动车事故后出现胸痛。尽管她肌钙蛋白水平升高且有广泛的心脏病史，但其心电图正常。然而，超声心动图显示左心室收缩功能短暂降低，伴有中至心尖运动减弱，符合应激性心肌病表现。我们强调在急诊科环境中使用诊断评分和即时床旁心脏超声（FOCUS），以加快对疑似应激性心肌病的识别、评估和治疗。
