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应激性心肌病:介于证据、误解和错误认知之间。

Takotsubo syndrome: between evidence, myths, and misunderstandings.

作者信息

Napp L Christian, Bauersachs Johann

机构信息

Department of Cardiology and Angiology, Hannover Medical School, Carl-Neuberg-Str. 1, 30625, Hannover, Germany.

出版信息

Herz. 2020 May;45(3):252-266. doi: 10.1007/s00059-020-04906-2.

Abstract

Takotsubo syndrome (TS) is an acute cardiac condition characterized by transient wall motion abnormalities mostly of the left ventricle. First described in 1990, TS has gained substantial attention during the past 15 years. However, the disease is still underdiagnosed. Prospective studies on TS are largely lacking, and the condition remains incompletely understood. In addition, significant misconceptions and misunderstandings are evident, contributing to potentially severe underestimation. Here, we review important aspects of TS with a focus on pitfalls, misinterpretations, and knowledge gaps considered important during diagnosis and management of the disease.

摘要

应激性心肌病(TS)是一种急性心脏疾病,其特征为主要发生于左心室的短暂性室壁运动异常。TS于1990年首次被描述,在过去15年中受到了广泛关注。然而,该疾病仍未得到充分诊断。关于TS的前瞻性研究严重不足,人们对这种疾病仍未完全了解。此外,明显存在重大的误解和错误认识,这可能导致严重的低估。在此,我们回顾TS的重要方面,重点关注在该疾病的诊断和管理过程中被认为重要的陷阱、错误解读和知识空白。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e6d7/7198647/7de25d7cbbd8/59_2020_4906_Fig1_HTML.jpg

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