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血液透析开始后立即发生的应激性心肌病

Takotsubo Syndrome Development Immediately Following Hemodialysis Initiation.

作者信息

Kurose Ryo, Mihara Yu, Fujikita Asuka, Matsumoto Kenji, Nakamura Masashi, Ogata Ayumi, Yamauchi Asuka, Ida Tomoharu, Kado Hiroshi, Hatta Tsuguru

机构信息

Department of Nephrology, Omihachiman Community Medical Center, Japan.

出版信息

Intern Med. 2025 Mar 15;64(6):851-856. doi: 10.2169/internalmedicine.3983-24. Epub 2024 Aug 8.

DOI:10.2169/internalmedicine.3983-24
PMID:39111887
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11986294/
Abstract

We herein report a case of Takotsubo syndrome in an 80-year-old woman with end-stage renal disease who hesitated to initiate hemodialysis for pulmonary edema. On hospital day 2, the patient experienced cardiac arrest. Coronary angiography after spontaneous return of circulation showed no substantial stenosis. Takotsubo syndrome was diagnosed based on echocardiography findings. On hospital day 3, she developed ventricular fibrillation but was spontaneously resuscitated. Patients with chronic kidney disease and those who postpone dialysis initiation may be at an increased risk of developing Takotsubo syndrome. Early and careful monitoring and adequate shared decision-making are essential for seamless initiation of dialysis.

摘要

我们在此报告一例80岁终末期肾病女性的Takotsubo综合征病例，该患者因肺水肿而对开始血液透析犹豫不决。在住院第2天，患者发生心脏骤停。自主循环恢复后进行的冠状动脉造影显示无明显狭窄。根据超声心动图检查结果诊断为Takotsubo综合征。在住院第3天，她发生室颤但自行复苏。慢性肾病患者以及推迟开始透析的患者发生Takotsubo综合征的风险可能增加。早期仔细监测和充分的共同决策对于无缝启动透析至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80ad/11986294/f790a9395014/1349-7235-64-0851-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80ad/11986294/b2511c59a21e/1349-7235-64-0851-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80ad/11986294/52c7e45bd817/1349-7235-64-0851-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80ad/11986294/5f4649a05341/1349-7235-64-0851-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80ad/11986294/25946a240209/1349-7235-64-0851-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80ad/11986294/f790a9395014/1349-7235-64-0851-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80ad/11986294/b2511c59a21e/1349-7235-64-0851-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80ad/11986294/52c7e45bd817/1349-7235-64-0851-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80ad/11986294/5f4649a05341/1349-7235-64-0851-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80ad/11986294/25946a240209/1349-7235-64-0851-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80ad/11986294/f790a9395014/1349-7235-64-0851-g005.jpg

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本文引用的文献

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Molecular Mechanisms of Takotsubo Syndrome.心肌顿抑综合征的分子机制。
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Takotsubo cardiomyopathy after vaccination for coronavirus disease 2019 in a patient on maintenance hemodialysis.维持性血液透析患者接种 2019 冠状病毒病疫苗后发生 Takotsubo 心肌病。
CEN Case Rep. 2022 May;11(2):220-224. doi: 10.1007/s13730-021-00657-z. Epub 2021 Nov 3.
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Dialysis Regret: Prevalence and Correlates.透析后悔：患病率及相关因素。
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Takotsubo Syndrome during Haemodialysis.血液透析期间的应激性心肌病
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