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复发性应激性心肌病伴前壁ST段抬高型心肌梗死

Recurrent Takotsubo Cardiomyopathy Presenting With Anterior Wall ST-Elevation Myocardial Infarction.

作者信息

Waheed Maham A, Khalid Mazin, Hashmi Arsalan Talib, Shani Jacob, Malik Bilal

机构信息

Department of Internal Medicine, Maimonides Medical Center, Brooklyn, USA.

Department of Cardiology, Maimonides Medical Center, Brooklyn, USA.

出版信息

Cureus. 2021 Feb 20;13(2):e13458. doi: 10.7759/cureus.13458.

DOI:10.7759/cureus.13458
PMID:33777547
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7984958/
Abstract

Takotsubo cardiomyopathy (TC) or stress cardiomyopathy with the presence of transient apical ballooning of the left ventricle in the absence of obstructive coronary artery disease. The recurrence of TC is extremely rare, with an annual recurrence risk of 1.5% and approximately 5% recurrence risk after six years. We present a case of a patient with a history of TC who presented with chest pain and ST-segment elevation in her electrocardiogram and was found to have normal coronaries and diagnosed with recurrent TC.

摘要

应激性心肌病（TC）或应激性心肌病，在无阻塞性冠状动脉疾病的情况下，左心室出现短暂的心尖部气球样变。TC的复发极为罕见，年复发风险为1.5%，6年后复发风险约为5%。我们报告一例有TC病史的患者，该患者出现胸痛，心电图显示ST段抬高，冠状动脉正常，诊断为复发性TC。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fd2/7984958/9e4dd236ccde/cureus-0013-00000013458-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fd2/7984958/712492603e98/cureus-0013-00000013458-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fd2/7984958/673400fba301/cureus-0013-00000013458-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fd2/7984958/c23869efedd9/cureus-0013-00000013458-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fd2/7984958/9cbc0f01d32c/cureus-0013-00000013458-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fd2/7984958/9e4dd236ccde/cureus-0013-00000013458-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fd2/7984958/712492603e98/cureus-0013-00000013458-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fd2/7984958/673400fba301/cureus-0013-00000013458-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fd2/7984958/c23869efedd9/cureus-0013-00000013458-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fd2/7984958/9cbc0f01d32c/cureus-0013-00000013458-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fd2/7984958/9e4dd236ccde/cureus-0013-00000013458-i05.jpg

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本文引用的文献

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Incidence and Clinical Impact of Recurrent Takotsubo Syndrome: Results From the GEIST Registry.复发性 Takotsubo 综合征的发生率和临床影响：来自 GEIST 登记研究的结果。
J Am Heart Assoc. 2019 May 7;8(9):e010753. doi: 10.1161/JAHA.118.010753.
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Haemodynamic deterioration due to intra-aortic balloon counterpulsation in takotsubo cardiomyopathy.应激性心肌病中主动脉内球囊反搏导致的血流动力学恶化
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Takotsubo Cardiomyopathy: Typical and Atypical Variants, A Two-Year Retrospective Cohort Study.
应激性心肌病与冠状动脉疾病：孰先孰后——鸡还是蛋？
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