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应激性心肌病与QTc间期延长及随后QTc间期改善和心尖部气球样变消退:一例报告

Takotsubo Cardiomyopathy and QTc Prolongation with Subsequent Improvement of QTc Interval and Resolution of Apical Ballooning: A Case Report.

作者信息

Alvarez Retamales Violeta, Lara Garcia Odalys E, Ranjha Suhayb, Koester Cameron, Labedi Mohamed R

机构信息

Internal Medicine, Southern Illinois University School of Medicine, Springfield, USA.

Internal Medicine: Cardiology, Southern Illinois University School of Medicine, Springfield, USA.

出版信息

Cureus. 2020 Jul 11;12(7):e9143. doi: 10.7759/cureus.9143.

Abstract

Stress-induced cardiomyopathy, also known as Takotsubo cardiomyopathy (TTS), is characterized by transient regional systolic dysfunction. Furthermore, electrocardiogram (ECG) changes can vary as TTS evolves. We report a case of a 67-year-old woman who presented to the ER after cardiac arrest. She was found to have stress-induced cardiomyopathy with prolonged QTc interval. The patient developed torsades de pointes for which she required cardioversion, followed by improvement of QTc interval corresponding to resolution of echocardiographic evidence of apical ballooning.

摘要

应激性心肌病,也称为 Takotsubo 心肌病(TTS),其特征为短暂的局部收缩功能障碍。此外,心电图(ECG)变化会随着 TTS 的发展而有所不同。我们报告一例 67 岁女性患者,她在心脏骤停后被送往急诊室。发现她患有应激性心肌病且 QTc 间期延长。该患者发生了尖端扭转型室速,为此她需要进行心脏复律,随后 QTc 间期改善,同时心尖部气球样变的超声心动图证据消失。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/96a9/7417186/a7c1ea7c6c21/cureus-0012-00000009143-i01.jpg

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