Clydesdale Ryan, Reddy Shivani, Kalavakunta Jagadeesh K, Po Jose Ricardo
Internal Medicine, Western Michigan University Homer Stryker M.D. School of Medicine, Kalamazoo, USA.
Cardiology, Ascension Borgess Medical Center, Kalamazoo, USA.
Cureus. 2024 Jul 11;16(7):e64349. doi: 10.7759/cureus.64349. eCollection 2024 Jul.
Takotsubo cardiomyopathy, also known as stress-induced cardiomyopathy or "broken heart syndrome," is a rare and reversible condition characterized by transient left ventricular dysfunction. It is typically triggered by acute emotional or physical stressors. Here, we present a unique case of TCM occurring in a 77-year-old woman following cardioversion for persistent and symptomatic atrial fibrillation. The patient underwent uncomplicated cardioversion with recent imaging showing intact global systolic function. She presented four days post-procedure for chest pain, shortness of breath, and peripheral edema. A repeat echocardiogram showed a marked decrease in cardiac function evidenced by an ejection fraction of 20-25%. The patient was readmitted and managed with IV diuretics. Symptoms resolved within three days and the patient showed improved cardiac function on imaging prior to discharge.
应激性心肌病，也称为应激性心肌病或“心碎综合征”，是一种罕见的可逆性疾病，其特征为短暂的左心室功能障碍。它通常由急性情绪或身体应激源引发。在此，我们报告一例独特的应激性心肌病病例，发生在一名77岁女性身上，该女性因持续性有症状心房颤动接受心脏复律后发病。患者接受了无并发症的心脏复律，近期影像学检查显示整体收缩功能完好。她在术后四天出现胸痛、呼吸急促和外周水肿。复查超声心动图显示心脏功能显著下降，射血分数为20%-25%。患者再次入院并接受静脉利尿剂治疗。症状在三天内缓解，出院前影像学检查显示患者心脏功能有所改善。
