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意外的心痛:食管胃十二指肠镜检查诱发的应激性心肌病

Unexpected Heartbreak: Takotsubo Cardiomyopathy Induced by Esophagogastroduodenoscopy.

作者信息

Abouzeid Wassim, Haddad Ahmad, Kloub Mohammad, Abu Ruman Yazeed, Patel Kinjal, Correia Joaquim

机构信息

Internal Medicine, Saint Michael's Medical Center, Newark, New Jersey.

Cardiology Department, Saint Michael's Medical Center, Newark, New Jersey.

出版信息

Tex Heart Inst J. 2025 May 23;52(1):e258558. doi: 10.14503/THIJ-25-8558. eCollection 2025 Jan-Jun.

Abstract

Takotsubo cardiomyopathy (stress cardiomyopathy, or broken-heart syndrome), characterized by reversible left ventricular dysfunction without clinically significant coronary artery obstruction, is rare but has been more commonly reported recently. Esophagogastroduodenoscopy as a cause of takotsubo cardiomyopathy remains exceedingly rare. The case report of an 84-year-old female patient with a complex medical history who had acute stress cardiomyopathy following esophagogastroduodenoscopy, which required prolonged hospitalization and hemodynamic support, is presented. This case emphasizes the importance of recognizing and considering this uncommon pathology and its complications in differential diagnosis. Diagnostic modalities and treatment options for this condition are also discussed.

摘要

应激性心肌病(应激性心肌病,或心碎综合征),其特征为可逆性左心室功能障碍且无临床显著冠状动脉阻塞,较为罕见,但近年来报道更为常见。食管胃十二指肠镜检查作为应激性心肌病的病因仍然极为罕见。本文报告了一例84岁女性患者,其有复杂病史,在接受食管胃十二指肠镜检查后发生急性应激性心肌病,需要长期住院和血流动力学支持。该病例强调了在鉴别诊断中认识和考虑这种罕见病理及其并发症的重要性。还讨论了这种疾病的诊断方法和治疗选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6235/12102090/df3d3d63dd79/i1526-6702-52-1-e258558-f01.jpg

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