Dipartimento di Scienze Cardiovascolari, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Largo Agostino Gemelli 8, Rome, 00168, Italy.
Istituto di Cardiologia Università Cattolica del Sacro Cuore, Largo Agostino Gemelli 8, Rome, 00168, Italy.
Future Cardiol. 2023 Mar;19(3):137-142. doi: 10.2217/fca-2022-0115. Epub 2023 Jun 28.
Takotsubo syndrome (TTS) is an increasingly diagnosed entity, however the underlying pathophysiological mechanisms and their clinical implications are incompletely understood. An 82-year-old female, diagnosed with pituitary apoplexy, presented with ECG abnormalities and hsTnI levels consistent with an acute coronary syndrome and therefore underwent urgent coronary angiography that showed no significant stenosis and apical ballooning at left ventricle angiogram and therefore a TTS diagnosis was made. Moreover, during catheterization a 20 s torsade de pointes was registered. TTS is an entity that can be triggered by numerous conditions. This case of TTS was linked to many neuroendocrinological disorders.
心尖球囊综合征(TTS)是一种越来越常见的诊断实体,但其潜在的病理生理机制及其临床意义尚不完全清楚。一位 82 岁的女性,诊断为垂体卒中,出现心电图异常和高敏肌钙蛋白 I 水平,符合急性冠状动脉综合征,因此进行了紧急冠状动脉造影,显示无明显狭窄和左心室造影时心尖气球样变,因此诊断为 TTS。此外,在导管插入术期间记录到 20 秒的尖端扭转型室速。TTS 是一种可以由多种情况引发的实体。本例 TTS 与许多神经内分泌紊乱有关。