Sanchez Morey Dolores, Kholoki Samer
Medicine, Saint James School of Medicine, Chicago, USA.
Internal Medicine, La Grange Memorial Hospital, Chicago, USA.
Cureus. 2024 Jun 6;16(6):e61795. doi: 10.7759/cureus.61795. eCollection 2024 Jun.
Takotsubo cardiomyopathy (TC), also known as "broken-heart syndrome," is a reversible form of left ventricular dysfunction predominantly affecting post-menopausal women. This case report describes a 62-year-old female who presented with dyspnea and chest pain six weeks after left transforaminal lumbar decompression and fusion surgery. Despite clinical findings suggestive of multivessel coronary artery disease (MVD), angiography revealed normal coronary arteries, confirming TC and stress-induced myocardial infarction. The patient's clinical course highlights the importance of recognizing TC's diverse clinical presentations, especially following surgical interventions, and underscores the need for individualized diagnostic approaches and treatment strategies. The case emphasizes the role of ongoing monitoring and research to understand TC's pathophysiology and optimize therapeutic management.
应激性心肌病（TC），也被称为“心碎综合征”，是一种左心室功能障碍的可逆形式，主要影响绝经后女性。本病例报告描述了一名62岁女性，在接受经椎间孔腰椎减压融合手术后六周出现呼吸困难和胸痛。尽管临床检查结果提示多支冠状动脉疾病（MVD），但血管造影显示冠状动脉正常，确诊为应激性心肌病和应激性心肌梗死。患者的临床病程突出了认识应激性心肌病多样临床表现的重要性，尤其是在手术干预之后，并强调了个性化诊断方法和治疗策略的必要性。该病例强调了持续监测和研究对于理解应激性心肌病病理生理学及优化治疗管理的作用。
