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新冠感染后病例中的应激性心肌病

Takotsubo Cardiomyopathy in a Post-COVID Case.

作者信息

Wasir Amanpreet S, Kalra Ravi, Verma Puneet

机构信息

Cardiology, Bharati Vidyapeeth University and Medical College, Pune, IND.

Cardiology, ACE Heart and Vascular Institute, Mohali, IND.

出版信息

Cureus. 2023 Sep 18;15(9):e45514. doi: 10.7759/cureus.45514. eCollection 2023 Sep.

Abstract

Takotsubo cardiomyopathy (TTC) is a unique heart disease that mimics the clinical presentation of acute coronary syndrome and is seen more commonly in post-menopausal females. Here, we report a case that presents an ideal documentation of TTC depicting its characteristic clinical features and possible outcomes. TTC usually culminates in a complete reversal of both systolic and diastolic dysfunctions, however in our case of a post-COVID scenario, the persisting, rather worsening diastolic dysfunction might be a residual manifestation of COVID-19 myocarditis. Recent reports have found an increasing prevalence of TTC amidst the COVID-19 pandemic possibly as a result of the emotional and physical stress, and subsequent catecholamine surge caused by the virus in such patients. There might exist an independent association between TTC and the COVID-19 virus. Increased clinical evidence is required to establish the strength of this relationship, if any.

摘要

应激性心肌病(TTC)是一种独特的心脏病,其临床表现类似于急性冠状动脉综合征,在绝经后女性中更为常见。在此,我们报告一例病例,该病例为TTC提供了理想的记录,描绘了其特征性临床特征和可能的结局。TTC通常最终会导致收缩和舒张功能障碍完全逆转,然而在我们这个新冠感染后的病例中,持续存在甚至恶化的舒张功能障碍可能是新冠病毒心肌炎的残留表现。最近的报告发现,在新冠疫情期间TTC的患病率不断上升,这可能是由于此类患者受到病毒引起的情绪和身体压力以及随后的儿茶酚胺激增所致。TTC与新冠病毒之间可能存在独立关联。需要更多临床证据来确定这种关系(如果存在的话)的强度。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca78/10585193/431d8426fc4b/cureus-0015-00000045514-i01.jpg

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