Ashdown Brayden, Hynes Emilie Calvello
Denver Health, Department of Emergency Medicine, Denver, Colorado.
University of Colorado School of Medicine, UC Health, Department of Emergency Medicine, Aurora, Colorado.
Clin Pract Cases Emerg Med. 2021 Nov;5(4):399-402. doi: 10.5811/cpcem.2021.4.52005.
Stress-induced cardiomyopathy is a rare but serious cause of chest pain, which in recent studies has been shown to carry a similar in-hospital mortality to acute ST-elevation myocardial infarction. The pathophysiology of the disease is thought to be secondary to dysregulated catecholamine effects on myocardium.
We present a case of a previously healthy female without known thyroid disease who presented to the emergency department for acute chest pain and was found to have thyroid storm-induced cardiomyopathy in a typical stress-induced cardiomyopathy pattern without evidence of coronary disease on catheterization.
Thyrotoxicosis can cause dysregulation of catecholamines and is a rare cause of stress-induced cardiomyopathy. It requires distinct therapies and should be considered by emergency physicians in the workup of acute chest pain with concern for stress-induced cardiomyopathy.
应激性心肌病是一种罕见但严重的胸痛病因，近期研究表明其院内死亡率与急性ST段抬高型心肌梗死相似。该病的病理生理学被认为是儿茶酚胺对心肌的作用失调所致。
我们报告一例既往健康、无已知甲状腺疾病的女性，因急性胸痛就诊于急诊科，经导管检查未发现冠状动脉疾病证据，却呈现典型应激性心肌病模式，被诊断为甲状腺风暴诱发的心肌病。
甲状腺毒症可导致儿茶酚胺失调，是应激性心肌病的罕见病因。它需要独特的治疗方法，急诊医生在对疑似应激性心肌病的急性胸痛进行检查时应予以考虑。
