Department of Cardiology, Middlemore Hospital, Auckland, New Zealand.
Department of Cardiology, Christchurch Hospital, Christchurch, New Zealand.
Intern Med J. 2022 Nov;52(11):1863-1876. doi: 10.1111/imj.15749. Epub 2022 Aug 31.
Takotsubo syndrome (TS), also known as apical ballooning syndrome, is a transient stress-related cardiomyopathy characterised by acute but reversible left ventricular dysfunction. The condition tends to occur in postmenopausal women after a stressful event. At presentation, TS typically mimics acute myocardial infarction (MI) and the incidence of TS has been increasing worldwide. This is likely a consequence of an improved awareness of the existence of this syndrome and easier access to early echocardiography and coronary angiography. However, its aetiology remains poorly understood and it is probably still underdiagnosed. Similar to other countries, TS is being increasingly recognised in New Zealand. In this review, we discuss the demographics, clinical features and outcomes of patients with TS in New Zealand. Doing so informs us not only of the pattern of disease in New Zealand but it also provides insights into the condition itself.
心尖球囊综合征（Takotsubo 综合征，TS），又称心尖气球样综合征，是一种与应激相关的短暂性心肌病，其特征为急性但可逆转的左心室功能障碍。这种疾病往往发生在绝经后妇女经历应激事件之后。在发病时，TS 通常类似于急性心肌梗死（MI），并且全世界 TS 的发病率一直在增加。这可能是由于人们对这种综合征的认识提高，以及早期超声心动图和冠状动脉造影的应用更加便捷所致。然而，其病因仍知之甚少，可能仍未得到充分诊断。与其他国家类似，TS 在新西兰的检出率也在不断增加。在这篇综述中，我们讨论了新西兰 TS 患者的人口统计学、临床特征和转归。这不仅使我们了解了新西兰的疾病模式，还深入了解了这种疾病本身。
