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COVID-19 患者中以心原性休克为表现的 Takotsubo 综合征:病例系列及文献复习。

Takotsubo Syndrome Presenting as Cardiogenic Shock in Patients With COVID-19: A Case Series and Review of Current Literature.

机构信息

Department of Internal Medicine, University of Chicago, Chicago, IL, United States of America.

Department of Internal Medicine, Section of Cardiology, University of Chicago, Chicago, IL, United States of America.

出版信息

Cardiovasc Revasc Med. 2021 Jul;28S:50-53. doi: 10.1016/j.carrev.2021.01.017. Epub 2021 Jan 22.

Abstract

Takotsubo's syndrome (TTS) is a form of stress cardiomyopathy with a relatively benign long-term course, but may lead to arrhythmias and cardiogenic shock in the acute setting. Despite a recent rise in suspected stress-induced cardiomyopathy, the relationship between the novel coronavirus disease 19 (COVID-19) and TTS is not fully understood. Early recognition of TTS in these patients is important to guide management and treatment. We present 2 cases of TTS arising in the setting of COVID-19 with rapid progression to biventricular heart failure and cardiogenic shock.

摘要

心尖球囊样综合征(TTS)是一种应激性心肌病,具有相对良性的长期病程,但在急性期可能导致心律失常和心源性休克。尽管疑似应激性心肌病的病例最近有所增加,但新型冠状病毒病 19(COVID-19)与 TTS 之间的关系尚未完全阐明。早期识别这些患者的 TTS 对于指导管理和治疗非常重要。我们报告了 2 例 COVID-19 患者发生 TTS 的病例,这 2 例患者迅速进展为全心衰竭和心源性休克。

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