依前列醇撤药引发的应激性心肌病
Stress Cardiomyopathy Precipitated by Withdrawal of Epoprostenol.
作者信息
Gionfriddo William J, Ahmed Hanna N, Farber Harrison W
机构信息
Division of Cardiology, Tufts Medical Center, Boston, Massachusetts.
Division of Cardiology, University of Massachusetts Memorial Medical Center, Worcester, Massachusetts.
出版信息
JACC Case Rep. 2020 Feb 5;2(2):289-293. doi: 10.1016/j.jaccas.2019.10.040. eCollection 2020 Feb.
We describe a case of stress-induced cardiomyopathy following epoprostenol withdrawal. A patient with pulmonary arterial hypertension presented with a malfunctioning Hickman catheter. Inappropriate withdrawal of epoprostenol resulted in shock. Evaluation confirmed stress-induced cardiomyopathy. Restarting epoprostenol resolved the electrocardiographic and echocardiographic abnormalities. This case meets Taskforce on Takotsubo Syndrome Stress-Induced Cardiomyopathy criteria. ().
我们描述了一例依前列醇撤药后发生的应激性心肌病病例。一名肺动脉高压患者出现了希克曼导管功能故障。依前列醇的不适当撤药导致休克。评估证实为应激性心肌病。重新使用依前列醇后，心电图和超声心动图异常得到缓解。该病例符合Takotsubo综合征应激性心肌病工作组的标准。（）
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