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破碎的心:探索一名88岁女性因机械性跌倒引发的应激性心肌病

Shattered Hearts: Exploring Takotsubo Cardiomyopathy Triggered by a Mechanical Fall in an 88-Year-Old Woman.

作者信息

Ayele Girma M, Atalay Rediet Tefera, Slater Kristin, Dusmatova Shahnoza, Gebremariam Bamlak, Brgdar Ahmed, Michael Miriam, Urooj Fatima

机构信息

Internal Medicine, Howard University Hospital, Washington, D.C., USA.

Cardiovascular Disease, Howard University Hospital, Washington, D.C., USA.

出版信息

Cureus. 2025 Apr 20;17(4):e82651. doi: 10.7759/cureus.82651. eCollection 2025 Apr.

Abstract

Takotsubo cardiomyopathy, also known as "Broken Heart Syndrome," manifests when the heart muscle experiences sudden stun or weakening, typically triggered by intense emotional or physical stress. Common triggers include the death of a loved one, a severe accident, a heated argument, an unexpected loss, or a sudden illness, thus earning the syndrome its colloquial name, broken heart syndrome. The symptoms closely resemble those of acute myocardial ischemia. While emotional stress is a well-known trigger, blunt chest trauma has been reported as a trigger in only a few studies. Similar to emotional stress, blunt trauma can also induce a surge in catecholamines, leading to myocardial stunning and transient left ventricular dysfunction. We present a distinctive case of Takotsubo cardiomyopathy following a minor ground-level fall, with no cardiac symptoms.

摘要

应激性心肌病,也被称为“心碎综合征”,当心肌突然受到冲击或功能减弱时就会出现,通常由强烈的情绪或身体压力引发。常见的诱因包括亲人离世、严重事故、激烈争吵、意外损失或突发疾病,因此该综合征有了“心碎综合征”这个通俗的名称。其症状与急性心肌缺血的症状极为相似。虽然情绪压力是一个广为人知的诱因,但仅有少数研究报道钝性胸部创伤可作为诱因。与情绪压力类似,钝性创伤也可导致儿茶酚胺激增,进而引起心肌顿抑和短暂的左心室功能障碍。我们报告了一例因轻微平地摔倒后发生的应激性心肌病特殊病例,摔倒时并无心脏症状。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a94a/12092306/0e5df0c504b4/cureus-0017-00000082651-i01.jpg

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