Bhat Shivani, Gazi Hashim, Mwansa Victor, Chhabra Lovely
Graduate Entry Medical School, University of LimerickLimerickIreland.
Division of Cardiology, Heartland Regional Medical CenterMarionIllinois.
Proc (Bayl Univ Med Cent). 2019 Aug 5;32(4):567-569. doi: 10.1080/08998280.2019.1634229. eCollection 2019 Oct.
Takotsubo cardiomyopathy is a syndrome characterized by transient left ventricular systolic and diastolic dysfunction, similar to an acute myocardial infarction but in the absence of significant obstructive epicardial coronary artery disease. This disease manifests predominantly in postmenopausal women in the presence of stressful triggers. We present a case of reverse takotsubo cardiomyopathy involving apical sparing, resulting from an iatrogenic overdose of epinephrine in a young man who was treated for anaphylaxis and angioedema.
应激性心肌病是一种以短暂性左心室收缩和舒张功能障碍为特征的综合征,类似于急性心肌梗死,但不存在明显的阻塞性心外膜冠状动脉疾病。这种疾病主要在绝经后女性中出现,且伴有应激诱因。我们报告一例逆向型应激性心肌病病例,该病例累及心尖部 spared(此处可能有误,推测应为“保留”之类意思),由一名因过敏反应和血管性水肿接受治疗的年轻男性医源性肾上腺素过量所致。