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新型冠状病毒肺炎继发双心室Takotsubo心肌病

Biventricular Takotsubo Cardiomyopathy Secondary to COVID-19.

作者信息

Casey Bradley, Chen Gregory, Bahekar Amol, Patel Divyang, Guddeti Raviteja

机构信息

Internal Medicine, Cape Fear Valley Medical Center, Fayetteville, USA.

Cardiology, Cape Fear Valley Medical Center, Fayetteville, USA.

出版信息

Cureus. 2023 Mar 14;15(3):e36153. doi: 10.7759/cureus.36153. eCollection 2023 Mar.

Abstract

Takotsubo cardiomyopathy (TCM) is a heart failure syndrome characterized by acute and transient dysfunction of the apical segment of the left ventricle. Since the emergence of coronavirus disease 2019 (COVID-19), caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the diagnosis of TCM has increased in prevalence. Here we present an intriguing case of a patient who initially presented to the hospital with respiratory failure and received a diagnosis of COVID-19. During the patient's hospital course, he was also diagnosed with biventricular TCM and subsequently experienced complete resolution of TCM before discharge. Providers should be cognizant of the potential cardiovascular complications of COVID-19 and consider those heart failure syndromes, including TCM, could be causing some of the respiratory dysfunction in these patients.

摘要

应激性心肌病(TCM)是一种心力衰竭综合征,其特征为左心室心尖段急性和短暂性功能障碍。自2019年冠状病毒病(COVID-19)由严重急性呼吸综合征冠状病毒2(SARS-CoV-2)引起以来,TCM的诊断患病率有所增加。在此,我们报告一例有趣的病例,该患者最初因呼吸衰竭入院并被诊断为COVID-19。在患者住院期间,他还被诊断为双心室TCM,随后在出院前TCM完全缓解。医疗人员应认识到COVID-19潜在的心血管并发症,并考虑包括TCM在内的那些心力衰竭综合征可能是这些患者某些呼吸功能障碍的原因。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/927f/10102670/afbbff64bb8b/cureus-0015-00000036153-i01.jpg

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