Okano Yoshio, Yamasaki Takashi, Imai Ryuichiro, Okazaki Hiroyasu, Higuchi Yuji, Shinohara Tsutomu
Division of Pulmonary Medicine, National Hospital Organization Kochi Hospital, Japan.
Division of Cardiovascular Disease, National Hospital Organization Kochi Hospital, Japan.
J Rural Med. 2022 Jul;17(3):181-183. doi: 10.2185/jrm.2022-008. Epub 2022 Jul 1.
Cardiac arrest (CA) has been observed in some patients with Takotsubo syndrome (TTS), most of whom had CA at the initial presentation of TTS. The objective of this report was to discuss the factors underlying the onset of this syndrome. A 72-year-old woman with refractory antineutrophil cytoplasmic autoantibody-associated lung disease was referred to our hospital. Twenty minutes after bronchoscopic examination, cardiopulmonary arrest suddenly occurred. Resuscitation immediately resumed her heartbeat and spontaneous breathing. Subsequent 12-lead electrocardiography, echocardiography, and left ventricular angiography revealed TTS. This case indicates that bronchoscopy can cause severe TTS, especially in patients with systemic inflammation.
在一些应激性心肌病（TTS）患者中观察到心脏骤停（CA），其中大多数患者在TTS初次发病时就出现了CA。本报告的目的是探讨该综合征发病的潜在因素。一名72岁患有难治性抗中性粒细胞胞浆抗体相关性肺病的女性被转诊至我院。支气管镜检查20分钟后，突然发生心肺骤停。复苏立即恢复了她的心跳和自主呼吸。随后的12导联心电图、超声心动图和左心室血管造影显示为TTS。该病例表明，支气管镜检查可导致严重的TTS，尤其是在全身性炎症患者中。
