二度房室传导阻滞合并应激性心肌病一例罕见病例
A Rare Case of Second-degree Atrioventricular Block and Takotsubo Syndrome.
作者信息
Costa Raquel, Fontes Joana, Mendes Tiago, Sousa Bárbara, Faria Silva Joana
机构信息
Serviço de Medicina Interna, Hospital Conde de Bertiandos, Ponte de Lima, Portugal.
出版信息
Eur J Case Rep Intern Med. 2021 Jun 1;8(7):002619. doi: 10.12890/2021_002619. eCollection 2021.
BACKGROUND
Takotsubo cardiomyopathy is characterized by transient left systolic dysfunction that can mimic acute myocardial infarction. Atrioventricular (AV) block associated with Takotsubo is rare, but a few cases have been reported in recent years.
METHODS
We present the case of a 77-year-old woman presenting with second-degree AV and Takotsubo syndrome.
RESULTS
The diagnosis of Takotsubo syndrome was based on echocardiogram changes and the absence of coronary artery obstruction on coronary angiography.
CONCLUSIONS
We describe a patient with a diagnosis of Takotsubo syndrome and AV conduction defect. These conditions rarely occur simultaneous, but when they do, a dilemma arises regarding pacemaker implantation.
LEARNING POINTS
Takotsubo syndrome is a rare disorder that can mimic acute myocardial infarction.Takotsubo syndrome normally resolves by itself, but the associated arrhythmias may need treatment and pacemaker implantation.The timing of pacemaker implantation has to be evaluated on a case-by-case basis.
背景
应激性心肌病的特征是短暂的左心室收缩功能障碍，可类似于急性心肌梗死。与应激性心肌病相关的房室传导阻滞很少见，但近年来已有少数病例报道。
方法
我们报告一例77岁女性患有二度房室传导阻滞和应激性心肌病综合征的病例。
结果
应激性心肌病综合征的诊断基于超声心动图改变以及冠状动脉造影显示无冠状动脉阻塞。
结论
我们描述了一例诊断为应激性心肌病综合征和房室传导缺陷的患者。这些情况很少同时发生，但一旦发生，在起搏器植入方面就会出现两难局面。
学习要点
应激性心肌病综合征是一种可类似于急性心肌梗死的罕见疾病。应激性心肌病综合征通常可自行缓解，但相关的心律失常可能需要治疗及起搏器植入。起搏器植入的时机必须根据具体情况进行评估。
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