Zghyer Fawzi, Botheju W Savindu Pasan, Kiss Joshua E, Michos Erin D, Corretti Mary C, Mukherjee Monica, Hays Allison G
Division of Cardiology, School of Medicine, Johns Hopkins University, Baltimore, MD, United States.
Virginia Commonwealth University Medical Center, Richmond, VA, United States.
Front Cardiovasc Med. 2022 Jan 28;8:799031. doi: 10.3389/fcvm.2021.799031. eCollection 2021.
Stress cardiomyopathy (Takotsubo syndrome) is a reversible syndrome stemming from myocardial injury leading to systolic dysfunction and is usually noted in the setting of a stressful event, be it an emotional or physical trigger. While the exact pathophysiology behind stress cardiomyopathy is yet unknown, there is ample evidence suggesting that neurocardiogenic mechanisms may play an important role. Although historically stress cardiomyopathy was generally thought to be a relatively benign condition, there is growing recognition of the cardiovascular complications associated with it despite its reversibility. Our review aims to shed light onto key cardiovascular imaging modalities used to diagnose stress cardiomyopathy while highlighting the role that imaging plays in assessing disease severity, identifying complications, dictating treatment approaches, and in short-term and long-term prognosis.
应激性心肌病（Takotsubo综合征）是一种源于心肌损伤导致收缩功能障碍的可逆性综合征，通常在应激事件的背景下出现，无论是情绪还是身体触发因素。虽然应激性心肌病背后的确切病理生理学尚不清楚，但有充分证据表明神经心源性机制可能起重要作用。尽管从历史上看，应激性心肌病通常被认为是一种相对良性的疾病，但尽管它具有可逆性，与它相关的心血管并发症却越来越受到关注。我们的综述旨在阐明用于诊断应激性心肌病的关键心血管成像模式，同时强调成像在评估疾病严重程度、识别并发症、指导治疗方法以及短期和长期预后方面所起的作用。
