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医源性反转性应激性心肌病 1 例罕见报告

A Rare Case of Iatrogenic Inverted Stress Cardiomyopathy.

机构信息

Department of Medicine, Richmond University Medical Center/Mount Sinai, Staten Island, New York, US.

Department of Cardiology, SUNY Downstate Medical Center, Brooklyn, New York, US.

出版信息

Methodist Debakey Cardiovasc J. 2022 Sep 29;18(1):78-84. doi: 10.14797/mdcvj.1110. eCollection 2022.

DOI:10.14797/mdcvj.1110
PMID:36246499
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9524293/
Abstract

We discuss a case of a 42-year-old female who was admitted for chronic intractable lower back pain requiring elective spinal surgery. Postoperatively, she experienced chest pressure and abdominal pain with a notable elevation in cardiac markers. A cardiac catheterization and left ventriculogram revealed normal coronary arteries and basal anterolateral hypokinesis, with the normal movement of the distal segment of the anterior wall. A rare variant of stress cardiomyopathy was diagnosed.

摘要

我们讨论了一个 42 岁女性的病例，她因慢性难治性腰痛需要择期脊柱手术而入院。术后，她出现了胸闷和腹痛，并伴有心肌标志物明显升高。心脏导管检查和左心室造影显示冠状动脉正常，基底前外侧节段运动减弱，前壁远端节段运动正常。诊断为一种罕见的应激性心肌病变异型。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3346/9524293/0189cacfca35/mdcvj-18-1-1110-g8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3346/9524293/1fa45df70058/mdcvj-18-1-1110-g1.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3346/9524293/1553bcb922a7/mdcvj-18-1-1110-g3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3346/9524293/a748524d423c/mdcvj-18-1-1110-g4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3346/9524293/b4607c677ad5/mdcvj-18-1-1110-g5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3346/9524293/5e9c18a78b8d/mdcvj-18-1-1110-g6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3346/9524293/cf2b70221841/mdcvj-18-1-1110-g7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3346/9524293/0189cacfca35/mdcvj-18-1-1110-g8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3346/9524293/1fa45df70058/mdcvj-18-1-1110-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3346/9524293/78a657d432a6/mdcvj-18-1-1110-g2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3346/9524293/1553bcb922a7/mdcvj-18-1-1110-g3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3346/9524293/a748524d423c/mdcvj-18-1-1110-g4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3346/9524293/b4607c677ad5/mdcvj-18-1-1110-g5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3346/9524293/5e9c18a78b8d/mdcvj-18-1-1110-g6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3346/9524293/cf2b70221841/mdcvj-18-1-1110-g7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3346/9524293/0189cacfca35/mdcvj-18-1-1110-g8.jpg

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J Cardiol Cases. 2016 Nov 24;15(3):77-79. doi: 10.1016/j.jccase.2016.10.015. eCollection 2017 Mar.
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Differences between Takotsubo cardiomyopathy and reverse Takotsubo cardiomyopathy associated with subarachnoid hemorrhage.与蛛网膜下腔出血相关的应激性心肌病和反向应激性心肌病之间的差异。
Int J Cardiol Heart Vasc. 2016 May 11;11:99-103. doi: 10.1016/j.ijcha.2016.05.010. eCollection 2016 Jun.
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Reverse Takotsubo cardiomyopathy following intra-abdominal surgery.腹部手术后的反向应激性心肌病
Turk Kardiyol Dern Ars. 2016 Sep;44(6):514-6. doi: 10.5543/tkda.2016.33348.
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Reverse Takotsubo syndrome in a patient with diagnosed multiple sclerosis.一名确诊为多发性硬化症的患者出现反向应激性心肌病。
Kardiol Pol. 2016;74(9):1029. doi: 10.5603/KP.2016.0125.
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Differences in the Clinical Profile and Outcomes of Typical and Atypical Takotsubo Syndrome: Data From the International Takotsubo Registry.典型和非典型 Takotsubo 综合征的临床特征和结局差异：来自国际 Takotsubo 注册研究的数据。
JAMA Cardiol. 2016 Jun 1;1(3):335-40. doi: 10.1001/jamacardio.2016.0225.
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