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非心脏手术前应激性心肌病的管理:一例报告

Management of Takotsubo cardiomyopathy before non-cardiac surgery: A case report.

作者信息

Gürol Tayfun

机构信息

Department of Cardiology, Bahçeşehir University Medical Park Göztepe Hospital, Istanbul, Turkey.

出版信息

Turk Gogus Kalp Damar Cerrahisi Derg. 2021 Apr 26;29(2):271-274. doi: 10.5606/tgkdc.dergisi.2021.21660. eCollection 2021 Apr.

Abstract

Takotsubo cardiomyopathy (left ventricular apical balloon syndrome) is characterized by transient apical ballooning, leading to apical systolic dysfunction. This syndrome typically mimics acute coronary syndrome in terms of electrocardiographic changes and cardiac enzyme release. Although its exact pathophysiology is still unclear, it is thought to be due to stress related to the catecholaminergic discharge. It is usually seen on postmenopausal women. Herein, we report a 78-year-old female patient with Takotsubo cardiomyopathy admitted to the orthopedic surgery clinic due to a femoral fracture and had no complication after surgery.

摘要

应激性心肌病(左心室心尖球囊综合征)的特征是短暂的心尖部球囊样扩张,导致心尖部收缩功能障碍。该综合征在心电图改变和心肌酶释放方面通常类似于急性冠脉综合征。尽管其确切的病理生理学仍不清楚,但认为是由于儿茶酚胺释放相关的应激所致。它通常见于绝经后女性。在此,我们报告一名78岁的女性应激性心肌病患者,因股骨骨折入住骨科手术门诊,术后未出现并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c90f/8167458/9cca7c53562b/TJTCS-2021-29-2-271-274-F1.jpg

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