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老年女性急性哮喘加重诱发的Takotsubo（应激性）心肌病

Takotsubo (stress) cardiomyopathy induced by acute asthma exacerbation in elderly woman.

作者信息

Al Khodari Khaled, Alhaj Tahtouh Raad, Abdullatef Waleed K, Al Khodari Mouaz

机构信息

Cardiology Department Hamad Medical Corporation (HMC) Doha Qatar.

Internal Medicine Department Hamad Medical Corporation (HMC) Doha Qatar.

出版信息

Clin Case Rep. 2023 Mar 8;11(3):e7074. doi: 10.1002/ccr3.7074. eCollection 2023 Mar.

DOI:10.1002/ccr3.7074
PMID:36911627
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9995802/
Abstract

A 73-year-old patient who was admitted secondary to acute asthma exacerbation that required frequent salbutamol and adrenaline nebulization. Takotsubo cardiomyopathy (TTC) was diagnosed after the new onset of chest pain with modest troponin elevation and normal coronary angiogram. Low ejection fraction and apical akinesia were completely resolved after her symptoms got improved.

摘要

一名73岁患者因急性哮喘加重入院，需要频繁使用沙丁胺醇和肾上腺素雾化治疗。在新发胸痛伴肌钙蛋白轻度升高且冠状动脉造影正常后，诊断为Takotsubo心肌病（TTC）。在她的症状改善后，低射血分数和心尖运动不能完全消失。

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本文引用的文献

1
Pathophysiology of Takotsubo Syndrome: JACC State-of-the-Art Review.Takotsubo 综合征的病理生理学：美国心脏病学会最新综述。
J Am Coll Cardiol. 2021 Feb 23;77(7):902-921. doi: 10.1016/j.jacc.2020.10.060.
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Takotsubo cardiomyopathy: A known unknown foe of asthma.应激性心肌病：哮喘中一个已知的未知敌人。
J Asthma. 2017 Oct;54(8):880-886. doi: 10.1080/02770903.2016.1276586. Epub 2017 Jan 5.
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Current state of knowledge on Takotsubo syndrome: a Position Statement from the Taskforce on Takotsubo Syndrome of the Heart Failure Association of the European Society of Cardiology.Takotsubo 综合征的现有知识状况：欧洲心脏病学会心力衰竭协会 Takotsubo 综合征工作组的立场声明。
Eur J Heart Fail. 2016 Jan;18(1):8-27. doi: 10.1002/ejhf.424. Epub 2015 Nov 9.
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Epidemiology and pathophysiology of Takotsubo syndrome.Takotsubo 综合征的流行病学和病理生理学。
Nat Rev Cardiol. 2015 Jul;12(7):387-97. doi: 10.1038/nrcardio.2015.39. Epub 2015 Apr 7.
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Diagnosis of Takotsubo cardiomyopathy.应激性心肌病的诊断。
Circ J. 2014;78(9):2129-39. doi: 10.1253/circj.cj-14-0859. Epub 2014 Aug 13.
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Heart and lung, a dangerous liaison-Tako-tsubo cardiomyopathy and respiratory diseases: A systematic review.心肺，一种危险的关联——应激性心肌病与呼吸系统疾病：一项系统综述
World J Cardiol. 2014 May 26;6(5):338-44. doi: 10.4330/wjc.v6.i5.338.
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Natural history and expansive clinical profile of stress (tako-tsubo) cardiomyopathy.应激（心碎）心肌病的自然病史和广泛的临床表现。
J Am Coll Cardiol. 2010 Jan 26;55(4):333-41. doi: 10.1016/j.jacc.2009.08.057.
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Takotsubo cardiomyopathy: a new form of acute, reversible heart failure.应激性心肌病：一种新型的急性可逆性心力衰竭。
Circulation. 2008 Dec 16;118(25):2754-62. doi: 10.1161/CIRCULATIONAHA.108.767012.
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Tako-Tsubo cardiomyopathy: intraindividual structural analysis in the acute phase and after functional recovery.应激性心肌病：急性期及功能恢复后的个体内部结构分析
Eur Heart J. 2007 Oct;28(20):2456-64. doi: 10.1093/eurheartj/ehl570. Epub 2007 Mar 29.
10
Apical ballooning syndrome or takotsubo cardiomyopathy: a systematic review.心尖气球样综合征或应激性心肌病：一项系统评价
Eur Heart J. 2006 Jul;27(13):1523-9. doi: 10.1093/eurheartj/ehl032. Epub 2006 May 23.