Kigure Ryuta, Akiyama Goh, Tosa Mamiko, Ogawa Rei
From the Department of Plastic, Reconstructive and Aesthetic Surgery, Nippon Medical School Hospital, Tokyo, Japan.
Plast Reconstr Surg Glob Open. 2023 Jul 6;11(7):e5099. doi: 10.1097/GOX.0000000000005099. eCollection 2023 Jul.
Takotsubo cardiomyopathy, also known as stress-induced cardiomyopathy or broken heart syndrome, generally has a good prognosis but occasionally causes serious complications. It is often triggered by physical and emotional stressors. Burns have been associated with takotsubo cardiomyopathy in six cases in the literature. We report here the seventh case. The patient, an 86-year-old woman with burn injuries to her face and hands due to a fire in her home, developed takotsubo cardiomyopathy. The condition was suspected soon after presentation due to precautionary electrocardiogram and then laboratory findings of elevated myocardial biomarkers. The diagnosis was then confirmed by left ventriculography. The cardiomyopathy resolved spontaneously without complications. The burn in our patient affected only 5% of total body surface area, but its impact may have been augmented by emotional stress caused by the patient losing her home in the fire. Our review of the six burn-related takotsubo cardiomyopathy cases in the literature showed that two of the cases also had small burns in combination with severe emotional stress. Since all six cases developed serious complications, the possibility of takotsubo cardiomyopathy should be suspected, even with small burns.
应激性心肌病，又称应激性心肌病或心碎综合征，一般预后良好，但偶尔会引发严重并发症。它常由身体和情绪应激源引发。文献中有6例烧伤与应激性心肌病相关。我们在此报告第7例。该患者为一名86岁女性，因家中失火面部和手部烧伤，继而患上应激性心肌病。因预防性心电图检查及随后心肌生物标志物升高的实验室检查结果，入院后不久即怀疑该病。左心室造影随后确诊。心肌病自发缓解，未出现并发症。我们的患者烧伤面积仅占体表面积的5%，但其影响可能因患者在火灾中失去家园所导致的情绪应激而加剧。我们对文献中6例与烧伤相关的应激性心肌病病例的回顾显示，其中2例也有小面积烧伤并伴有严重情绪应激。由于所有6例均出现严重并发症，即使是小面积烧伤，也应怀疑应激性心肌病的可能性。
