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应激性心肌病继发心力衰竭患者并发大面积肺栓塞:一例报告

Massive Pulmonary Embolism Related to a Patient With Heart Failure Secondary to Stress Cardiomyopathy: A Case Report.

作者信息

Pimentel-Esparza Juan Andres, Rios-Gomez Mariana, Cervantes-Nieto Jorge Antonio, Fuentes Mendoza Juan Alan

机构信息

Department of Internal Medicine, Petróleos Mexicanos (PEMEX) Regional Hospital Salamanca, Salamanca, MEX.

Department of Cardiology, Policlinica Integral del Bajio, Irapuato, MEX.

出版信息

Cureus. 2024 Jan 26;16(1):e52985. doi: 10.7759/cureus.52985. eCollection 2024 Jan.

Abstract

Venous thromboembolism (VTE) is a common disease, which includes deep venous thrombosis (DVT) and pulmonary embolism (PE). It is the third most common cardiovascular disorder, affecting predominantly the male elderly population. Stress cardiomyopathy (SC) is a transitorily cardiovascular condition produced after an emotional or physical trigger, and it features signs and symptoms of acute coronary syndrome. Its pathophysiological mechanisms remain unclear, and SC has also been related to critical complications such as heart failure, arrhythmias, left ventricular outflow obstruction, and thromboembolic events. This case report highlights the association of PE and SC that might play a pathophysiological role.

摘要

静脉血栓栓塞症(VTE)是一种常见疾病,包括深静脉血栓形成(DVT)和肺栓塞(PE)。它是第三大常见的心血管疾病,主要影响老年男性人群。应激性心肌病(SC)是一种在情绪或身体触发后产生的短暂性心血管疾病,其特征为急性冠状动脉综合征的体征和症状。其病理生理机制尚不清楚,并且SC还与诸如心力衰竭、心律失常、左心室流出道梗阻和血栓栓塞事件等严重并发症有关。本病例报告强调了PE与SC之间可能起病理生理作用的关联。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e7a/10894014/b5e5a7028a82/cureus-0016-00000052985-i01.jpg

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