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应激性心肌病与心房黏液瘤——识别一种新诱因:病例报告

Takotsubo syndrome and atrial myxoma-identifying a new trigger: a case report.

作者信息

Velarde-Acosta Kevin, Sandoval Robert, Falcón-Quispe Luis, Anicama Lima William Efrain, Baltodano-Arellano Roberto

机构信息

Clinical Cardiology Service, Hospital Guillermo Almenara Irigoyen - EsSalud, Lima, Peru.

Cardiac Imaging Area of Cardiology Service, Hospital Guillermo Almenara Irigoyen - EsSalud, Lima, Peru.

出版信息

Front Cardiovasc Med. 2024 Feb 13;11:1323492. doi: 10.3389/fcvm.2024.1323492. eCollection 2024.

Abstract

Takotsubo syndrome (TTS) is a rare cardiomyopathy, but its prevalence is increasing due to the greater availability of diagnostic tools, whose pathophysiology is unknown; however, the evidence points to an excess of catecholamines that ends up generating cardiac stunning. The cause of excessive sympathetic discharge is multifactorial, and some tumors may be related to their origin. In this case report, we present a female patient with TTS whose only identified triggering factor was an atrial myxoma, which generated an unusual clinical presentation. Current multimodal diagnostic tools together with the multidisciplinary evaluation of the HeartTeam allowed an accurate diagnosis and an adequate management of the clinical picture.

摘要

应激性心肌病(TTS)是一种罕见的心肌病,但由于诊断工具的可用性增加,其患病率正在上升,其病理生理学尚不清楚;然而,有证据表明儿茶酚胺过多最终会导致心肌顿抑。交感神经放电过多的原因是多因素的,一些肿瘤可能与其起源有关。在本病例报告中,我们介绍了一名患有TTS的女性患者,其唯一确定的触发因素是心房黏液瘤,这导致了不寻常的临床表现。当前的多模态诊断工具以及心脏团队的多学科评估使得能够准确诊断并妥善处理临床症状。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f7f/10897023/60368c646000/fcvm-11-1323492-g001.jpg

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