Cardiology Unit at Emergency Department, Madonna del Soccorso Hospital, San Benedetto del Tronto.
Monaldi Arch Chest Dis. 2021 Dec 30;92(3). doi: 10.4081/monaldi.2021.2106.
Hypertrophic cardiomyopathy (HCM) is a genetic disorder presenting with a pathological increase of left ventricle (LV) wall thicknesses. The most frequent morphological form is characterized by an abnormal LV basal septal hypertrophy. Tako-Tsubo cardiomyopathy (TTC) is a transient left ventricular systolic dysfunction induced by high physical or emotional stress. Its occurrence with HCM is unusual. However, this presentation occurs more often with the classic asymmetrical septal hypertrophy compared with the apical variant. This case demonstrates that the coexistence of TTC with septal HCM in an elderly patient may lead to a severe hemodinamic instability picture.
肥厚型心肌病（HCM）是一种遗传性疾病，表现为左心室（LV）壁厚度病理性增加。最常见的形态学形式表现为 LV 基底间隔异常肥厚。心尖球形综合征（TTC）是由高体力或情绪应激引起的短暂性左心室收缩功能障碍。HCM 伴 TTC 并不常见。然而，这种表现与经典的不对称性室间隔肥厚比心尖部变异更常见。本例表明，老年患者 TTC 与室间隔 HCM 共存可能导致严重的血液动力学不稳定。
