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治疗性心包穿刺术后心包减压综合征与应激性心肌病的重叠表现

An Overlap Presentation of Pericardial Decompression Syndrome and Stress Cardiomyopathy Following Therapeutic Pericardiocentesis.

作者信息

Cerrud-Rodriguez Roberto C, Rashid Syed Muhammad Ibrahim, Shaqra Hussein, Alkhalil Ahmad, Algodi Mohammed, Chudow Jay J, Garcia Mario J, Tauras James M, Weisz Giora

机构信息

Montefiore-Einstein Center for Heart and Vascular Care, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York.

出版信息

JACC Case Rep. 2020 Jun 17;2(7):1009-1013. doi: 10.1016/j.jaccas.2020.04.029.

Abstract

Pericardial decompression syndrome, defined as paradoxical hypotension and pulmonary edema after pericardiocentesis, is a rare complication of pericardiocentesis. Stress cardiomyopathy, caused by excess catecholamine response resulting in left ventricular dysfunction and elevated cardiac enzymes, can overlap with pericardial decompression syndrome, and both might belong to the same spectrum of disease. ().

摘要

心包减压综合征定义为心包穿刺术后出现的反常性低血压和肺水肿,是心包穿刺术的一种罕见并发症。应激性心肌病由过量儿茶酚胺反应导致左心室功能障碍和心肌酶升高引起,可能与心包减压综合征重叠,两者可能属于同一疾病谱。()

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4356/8302087/c3176da247d3/fx1.jpg

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