自发性冠状动脉夹层所致的应激性心肌病

Prakash Roshni O, Chakrala Teja S, Brady Steven M, Prasada Sahil, Keeley Ellen C

Department of Medicine, University of Florida Health, Gainesville, USA.

Department of Medicine and Department of Cardiology, University of Florida Health, Gainesville, USA.

Cureus. 2022 May 12;14(5):e24945. doi: 10.7759/cureus.24945. eCollection 2022 May.

A case of an anxious 59-year-old woman, who presented with chest pressure, nausea, and vomiting, is described. After hours of symptoms that worsened despite medical management, cardiac catheterization was performed. Angiography revealed diffuse, long, tubular disease of multiple coronary vessels. Additionally, left ventriculography was consistent with Takotsubo syndrome. Based on both coronary angiography and left ventriculography, it was determined that this patient had concomitant spontaneous coronary artery dissection and Takotsubo syndrome.

描述了一例59岁焦虑女性患者，其表现为胸痛、恶心和呕吐。在经过数小时症状虽经药物治疗仍恶化后，进行了心脏导管插入术。血管造影显示多支冠状动脉弥漫性、长管状病变。此外，左心室造影符合应激性心肌病综合征。基于冠状动脉造影和左心室造影，确定该患者同时患有自发性冠状动脉夹层和应激性心肌病综合征。