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患有冠状动脉疾病的应激性心肌病患者:先有鸡还是先有蛋。

Takotsubu Cardiomyopathy Patient With Coronary Artery Disease: The Chicken or the Egg.

作者信息

Ude Chara, Helal Ayman, Antoun Ibrahim

机构信息

Department of Cardiology Kettering General Hospital Kettering UK.

Department of Cardiovascular Sciences University of Leicester Leicester UK.

出版信息

Clin Case Rep. 2024 Dec 25;13(1):e70028. doi: 10.1002/ccr3.70028. eCollection 2025 Jan.

Abstract

This case emphasizes the rare occurrence of Takotsubo cardiomyopathy (TTC) in a patient with moderate coronary artery disease (CAD), highlighting the complexity of diagnosis and management. Clinicians should maintain a high index of suspicion for TTC in patients with CAD, especially when echocardiographic findings suggest apical ballooning. Balancing therapies for both conditions is essential.

摘要

该病例强调了中度冠状动脉疾病(CAD)患者中Takotsubo心肌病(TTC)的罕见发生,突出了诊断和管理的复杂性。临床医生对CAD患者应保持对TTC的高度怀疑指数,尤其是当超声心动图结果提示心尖部气球样变时。平衡针对这两种病症的治疗至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b77/11669494/ab957655e83c/CCR3-13-e70028-g001.jpg

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