新发心力衰竭中的超声心动图检查：一例心室中部应激性心肌病病例报告
Echocardiography in new-onset heart failure: a mid-ventricular Takotsubo case report.
作者信息
Nikias Milaras, Aikaterini Boli, Eirini Beneki, Vasilios Nevras, Panagiotis Zachos, Konstantinos Tsatiris
机构信息
Cardiology Registrar Department of Cardiology, General Hospital of Karditsa, Terma Tavropou, Karditsa 43100, Greece.
Cardiology Registrar Registrar Department of Cardiology, General Hospital of Karditsa, Terma Tavropou, Karditsa 43100, Greece.
出版信息
Br J Cardiol. 2022 Oct 11;29(4):33. doi: 10.5837/bjc.2022.033. eCollection 2022.
Abstract
We report the case of an elderly woman with recent hip replacement surgery that presented with cardiogenic shock. The initial echocardiogram was suggestive of mid-ventricular Takotsubo cardiomyopathy, which was later confirmed due to absence of severe coronary artery disease and complete resolution of the patient's cardiac systolic dysfunction. Fluid and inotrope administration in the acute phase, and guideline-directed medical therapy for heart failure, thereafter, led to full recovery.
摘要
我们报告了一例近期接受髋关节置换手术的老年女性患者，该患者出现了心源性休克。初始超声心动图提示为心室中部应激性心肌病，后因排除严重冠状动脉疾病且患者心脏收缩功能完全恢复而得到确诊。急性期给予液体和血管活性药物治疗，此后按照心力衰竭指南进行药物治疗，患者最终完全康复。
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