Nagpal Raghav R, Dhabhar Jeyhan B, Ghanekar Jaishree
Internal Medicine, MGM Hospital & Medical College, Mumbai, IND.
Cureus. 2019 Sep 20;11(9):e5711. doi: 10.7759/cureus.5711.
Takotsubo cardiomyopathy may present like acute coronary syndrome and is characterized by reversible left ventricular (LV) apical ballooning in the absence of any significant underlying coronary artery disease. A 65-year-old lady presented to the ED with history of sudden onset left-sided weakness of body. Head CT scan was suggestive of right gangliocapsular intracerebral bleed with intraventricular extension. 2D Echo showed characteristic LV apical ballooning with hypokinesia and LV ejection fraction of 25%-30%. Diagnosing Takotsubo cardiomyopathy includes resolution in electrocardiogram (ECG) changes and reversible LV dysfunction on two-dimensional echocardiogram, and a normal coronary angiography.
应激性心肌病可能表现类似急性冠脉综合征，其特征为在无任何显著潜在冠状动脉疾病的情况下出现可逆性左心室心尖部气球样变。一名65岁女性因突发左侧身体无力病史就诊于急诊科。头部CT扫描提示右侧壳核脑内出血并破入脑室。二维超声心动图显示典型的左心室心尖部气球样变伴运动减弱，左心室射血分数为25%-30%。应激性心肌病的诊断包括心电图（ECG）改变的消退、二维超声心动图上可逆性左心室功能障碍以及冠状动脉造影正常。
