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Stress cardiomyopathy should be considered with unexpected hypotension in pregnant women.对于孕妇出现意外低血压的情况，应考虑应激性心肌病。
Clin Case Rep. 2020 Apr 29;8(7):1265-1268. doi: 10.1002/ccr3.2758. eCollection 2020 Jul.
2
The role of echocardiography in diagnosis and follow up of patients with takotsubo cardiomyopathy or acute ballooning syndrome.超声心动图在Takotsubo心肌病或急性球囊样综合征患者诊断及随访中的作用
Med Arh. 2011;65(5):287-90. doi: 10.5455/medarh.2011.65.287-290.
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J Med Case Rep. 2018 Jun 10;12(1):160. doi: 10.1186/s13256-018-1696-x.
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Stress-induced cardiomyopathy (takotsubo cardiomyopathy) after liver transplantation-report of two cases.肝移植术后应激性心肌病（应激性心肌病）——两例报告
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Persistent Long-Term Structural, Functional, and Metabolic Changes After Stress-Induced (Takotsubo) Cardiomyopathy.应激性（心碎）心肌病后的持续长期结构性、功能性和代谢性改变。
Circulation. 2018 Mar 6;137(10):1039-1048. doi: 10.1161/CIRCULATIONAHA.117.031841. Epub 2017 Nov 11.
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Peripartum Mid-Ventricular-Type Takotsubo Cardiomyopathy After Cesarean Delivery.剖宫产术后围生期心尖中部型 Takotsubo 心肌病。
Int Heart J. 2022 Jul 30;63(4):782-785. doi: 10.1536/ihj.21-858. Epub 2022 Jul 14.
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Takotsubo cardiomyopathy - An unexpected complication in spine surgery.应激性心肌病——脊柱手术中意想不到的并发症。
Int J Surg Case Rep. 2015;6C:172-4. doi: 10.1016/j.ijscr.2014.10.002. Epub 2014 Dec 11.
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Takotsubo Syndrome (Broken-Heart Syndrome or Stress Cardiomyopathy) in an Epileptic Pregnant Woman: A Case Report.一名癫痫孕妇的应激性心肌病（心碎综合征或应激性心肌病）：病例报告
Cureus. 2023 Mar 17;15(3):e36308. doi: 10.7759/cureus.36308. eCollection 2023 Mar.
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[Peripartum cardiomyopathy or takotsubo cardiomyopathy? The clinical case with arterial hypotension and pulmonary edema].[围产期心肌病还是应激性心肌病？伴有动脉低血压和肺水肿的临床病例]
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Point-of-care ultrasound leads to diagnostic shifts in patients with undifferentiated hypotension.床旁超声检查会导致未分化型低血压患者的诊断发生改变。
Am J Emerg Med. 2017 Dec;35(12):1984.e3-1984.e7. doi: 10.1016/j.ajem.2017.08.054. Epub 2017 Aug 26.

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The association between circadian rhythm of cortisol and shift work regularity among midwives-A multicenter study in Southeast China.皮质醇昼夜节律与助产士轮班工作规律的关系：中国东南部的一项多中心研究。
Front Public Health. 2022 Sep 27;10:965872. doi: 10.3389/fpubh.2022.965872. eCollection 2022.

本文引用的文献

1
Acute pulmonary edema caused by takotsubo cardiomyopathy in a pregnant woman undergoing transvaginal cervical cerclage: A case report.经阴道宫颈环扎术的孕妇发生应激性心肌病所致急性肺水肿：一例报告
Medicine (Baltimore). 2017 Jan;96(1):e5536. doi: 10.1097/MD.0000000000005536.
2
Peripartum cardiomyopathy.围产期心肌病
Obstet Med. 2011 Jun;4(2):44-52. doi: 10.1258/om.2010.100054. Epub 2011 May 12.
3
Takotsubo cardiomyopathy: definition and clinical profile.心肌顿抑综合征：定义与临床特征。
Heart Fail Clin. 2013 Apr;9(2):111-22, vii. doi: 10.1016/j.hfc.2012.12.007. Epub 2013 Jan 22.
4
Inverted stress (Takotsubo) cardiomyopathy following caesarean section: insights from cardiac magnetic resonance.剖宫产术后应激性心肌病（应激性心肌病）：心脏磁共振成像的见解
Int J Cardiol. 2013 May 10;165(2):e38-9. doi: 10.1016/j.ijcard.2012.10.087. Epub 2012 Nov 22.
5
Clinical characteristics and cardiovascular magnetic resonance findings in stress (takotsubo) cardiomyopathy.应激（心碎）性心肌病的临床特征和心血管磁共振成像表现。
JAMA. 2011 Jul 20;306(3):277-86. doi: 10.1001/jama.2011.992.
6
Different characteristics of peripartum cardiomyopathy between patients complicated with and without hypertensive disorders. -Results from the Japanese Nationwide survey of peripartum cardiomyopathy-.围生期心肌病患者并发和不并发高血压疾病的不同特征。-来自日本围生期心肌病全国性调查的结果。-
Circ J. 2011;75(8):1975-81. doi: 10.1253/circj.cj-10-1214. Epub 2011 May 27.
7
Acute coronary syndrome in pregnant women.
Expert Rev Cardiovasc Ther. 2011 Apr;9(4):505-15. doi: 10.1586/erc.11.19.
8
Sudden cardiac arrest due to puerperal transient left ventricular apical ballooning syndrome.因产后一过性左心室尖球形综合征导致的心脏骤停。
Int J Cardiol. 2011 May 19;149(1):e12-3. doi: 10.1016/j.ijcard.2009.03.066. Epub 2009 Apr 5.
9
Takotsubo cardiomyopathy or transient left ventricular apical ballooning syndrome: A systematic review.应激性心肌病或短暂性左心室心尖气球样变综合征：一项系统综述。
Int J Cardiol. 2008 Mar 14;124(3):283-92. doi: 10.1016/j.ijcard.2007.07.002. Epub 2007 Jul 24.
10
Incidence, clinical findings, and outcome of women with left ventricular apical ballooning syndrome.左心室尖部气球样变综合征女性患者的发病率、临床特征及预后
Am J Cardiol. 2007 Jan 15;99(2):182-5. doi: 10.1016/j.amjcard.2006.07.080. Epub 2006 Nov 14.

对于孕妇出现意外低血压的情况，应考虑应激性心肌病。

Stress cardiomyopathy should be considered with unexpected hypotension in pregnant women.

作者信息

Li Chen, Wang Hui, Wu Yina, Duan Jun

机构信息

China-Japan Friendship Hospital Beijing China.

出版信息

Clin Case Rep. 2020 Apr 29;8(7):1265-1268. doi: 10.1002/ccr3.2758. eCollection 2020 Jul.

DOI:10.1002/ccr3.2758
PMID:32695372
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7364092/
Abstract

Stress-induced cardiomyopathy is expected that with the wide application of critical ultrasound, ICU doctors will find more cases, particularly among pregnant patients. Patients can actually survive the acute period of excessive stress, and their cardiac function can recover as long as effective treatment measures are taken.

摘要

应激性心肌病预计随着床旁超声的广泛应用，重症监护病房的医生将会发现更多病例，尤其是在孕妇中。患者实际上可以度过过度应激的急性期，并且只要采取有效的治疗措施，其心功能就可以恢复。