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老年女性创伤患者中的 Takotsubo 心肌病:病例系列研究。

Takotsubo cardiomyopathy in elderly female trauma patients: a case series.

机构信息

Imperial College Healthcare NHS Trust, London, UK.

Cutrale Perioperative and Ageing Group, Department of Bioengineering, Imperial College London, London, UK.

出版信息

J Med Case Rep. 2021 Sep 3;15(1):451. doi: 10.1186/s13256-021-03056-1.

Abstract

BACKGROUND

Takotsubo cardiomyopathy is a syndrome characterized by acute left ventricular wall motion abnormalities leading to left ventricular systolic dysfunction. It remains an important differential diagnosis for acute coronary syndrome.

CASE PRESENTATIONS

Here we describe three cases of Takotsubo cardiomyopathy occurring in three Caucasian female trauma patients (aged 79, 81, and 82 years old) and the impact on their clinical course.

CONCLUSIONS

For patients requiring surgical management, delays in the diagnosis of Takotsubo cardiomyopathy may lead to postponement of urgent operative management. This delay in surgery likely impacts on length of hospital stay, leading to an increasing morbidity and mortality.

摘要

背景

应激性心肌病又称心尖球囊综合征,其特征为急性左心室壁运动异常导致左心室收缩功能障碍。该病仍然是急性冠状动脉综合征的重要鉴别诊断。

病例介绍

本研究描述了 3 例应激性心肌病病例,均为创伤后发生的白人女性患者(年龄分别为 79、81 和 82 岁),并探讨了其对临床病程的影响。

结论

对于需要手术治疗的患者,应激性心肌病的诊断延迟可能导致紧急手术管理的推迟。这种手术延迟可能会影响住院时间,导致发病率和死亡率增加。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/91e3/8418103/35ced91c0481/13256_2021_3056_Fig1_HTML.jpg

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