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1例罕见的胃轻瘫诱发的Takotsubo心肌病

A Rare Case of Gastroparesis-Induced Takotsubo Cardiomyopathy.

作者信息

Titus Joane, Bentley Jacob, Recker Kristin L, Karasik Olga

机构信息

Internal Medicine, University of Central Florida (UCF) Hospital Corporation of America (HCA) Graduate Medical Education (GME) Consortium, Orlando, USA.

Internal Medicine, University of Central Florida (UCF) College of Medicine, Orlando, USA.

出版信息

Cureus. 2024 Jul 16;16(7):e64636. doi: 10.7759/cureus.64636. eCollection 2024 Jul.

Abstract

This case report includes an extremely rare and intriguing presentation of takotsubo cardiomyopathy (TCM), triggered by forceful vomiting in the setting of gastroparesis, a condition characterized by delayed gastric emptying. TCM is a reversible form of cardiomyopathy that typically occurs following a severe emotional or physical stressor. In this exceptional case, we present a patient with an acute severe episode of gastroparesis, followed by TCM, devoid of any recognizable emotional or physical stressors. This case highlights the importance of considering non-traditional triggers in TCM cases.

摘要

本病例报告包含了应激性心肌病(TCM)一种极其罕见且引人关注的表现形式,其由胃轻瘫(一种以胃排空延迟为特征的病症)时的剧烈呕吐引发。应激性心肌病是一种可逆性心肌病,通常在严重的情绪或身体应激源后发生。在这个特殊病例中,我们呈现了一名患者,先是急性严重胃轻瘫发作,随后出现应激性心肌病,且不存在任何可识别的情绪或身体应激源。该病例凸显了在应激性心肌病病例中考虑非传统触发因素的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7214/11328825/87dc730b4f3e/cureus-0016-00000064636-i01.jpg

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