心房颤动冷冻消融术中复发性应激性心肌病：一例报告
Recurrent Takotsubo Cardiomyopathy During Cryoablation Procedure for Atrial Fibrillation: A Case Report.
作者信息
Khan Nadeem, Jimenez Restrepo Alejandro, Kumar Sanjay
机构信息
Department of Medicine, Marshfield Clinic, Wisconsin.
Division of Cardiology, Marshfield Clinic, Wisconsin.
出版信息
J Atr Fibrillation. 2020 Dec 31;13(4):2446. doi: 10.4022/jafib.2446. eCollection 2020 Dec.
Abstract
We report a case of 72-year-old female with prior history of takotsubo cardiomyopathy (TSC) who had recurrence of TSC during cryoablation of pulmonary veins for atrial fibrillation (AF) ablation. This case is unique because this is the first report of TSC detected during cryoablation and the procedure being stressor for recurrent TSC. We discuss possible mechanism of TSC and management of this case. Readers would have higher alertness of detecting TSC during AF ablation and therefore would be able to manage this serious condition properly.
摘要
我们报告了一例72岁女性病例，该患者既往有应激性心肌病（TSC）病史，在进行肺静脉冷冻消融治疗心房颤动（AF）时TSC复发。该病例独特之处在于，这是首例在冷冻消融过程中检测到TSC且该操作成为TSC复发应激源的报告。我们讨论了TSC的可能机制及该病例的处理。读者在AF消融过程中检测TSC时会提高警觉性，从而能够妥善处理这一严重病症。
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