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应激性心肌病的影像学表现谱：图文综述

The spectrum of imaging findings in takotsubo cardiomyopathy: a pictorial essay.

作者信息

Machado Camila Vilas Boas, Sasdelli Neto Roberto, Szarf Gilberto, Ishikawa Walther Yoshiharu, Fonseca Eduardo Kaiser Ururahy Nunes

机构信息

Department of Imaging, Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.

出版信息

Radiol Bras. 2025 Aug 13;58:e20250019. doi: 10.1590/0100-3984.2025.0019-en. eCollection 2025 Jan-Dec.

DOI:10.1590/0100-3984.2025.0019-en
PMID:40958948
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12435933/
Abstract

Takotsubo cardiomyopathy is an important differential diagnosis for acute chest pain. Imaging tests, such as ventriculography, echocardiography, computed tomography of the heart, and cardiac magnetic resonance, are valuable tools for diagnostic confirmation in this context. This study reviews the literature and exemplifies the spectrum of typical and atypical cardiac magnetic resonance findings in this disease, on the basis of the experience of our facility. Recognition of these characteristics underscores the roles that radiologists and cardiologists play in the care of patients with acute chest pain, enabling an accurate diagnosis and appropriate treatment.

摘要

应激性心肌病是急性胸痛的重要鉴别诊断。心室造影、超声心动图、心脏计算机断层扫描和心脏磁共振成像等影像学检查是在这种情况下用于确诊的重要工具。本研究回顾了相关文献，并根据我们机构的经验，举例说明了该病典型和非典型心脏磁共振成像表现的范围。认识到这些特征凸显了放射科医生和心脏病专家在急性胸痛患者护理中的作用，有助于准确诊断和适当治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1062/12435933/0645d2135d3a/rb-58-e20250019-g11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1062/12435933/193934cc595f/rb-58-e20250019-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1062/12435933/6f3f94cb5573/rb-58-e20250019-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1062/12435933/7471c5e63a52/rb-58-e20250019-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1062/12435933/775a4b7e270c/rb-58-e20250019-g04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1062/12435933/76baf713ea7a/rb-58-e20250019-g06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1062/12435933/a41e2f4e32ed/rb-58-e20250019-g07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1062/12435933/6e080eb6d901/rb-58-e20250019-g09.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1062/12435933/6f03eb4b1bfc/rb-58-e20250019-g10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1062/12435933/0645d2135d3a/rb-58-e20250019-g11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1062/12435933/193934cc595f/rb-58-e20250019-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1062/12435933/6f3f94cb5573/rb-58-e20250019-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1062/12435933/7471c5e63a52/rb-58-e20250019-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1062/12435933/775a4b7e270c/rb-58-e20250019-g04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1062/12435933/76baf713ea7a/rb-58-e20250019-g06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1062/12435933/a41e2f4e32ed/rb-58-e20250019-g07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1062/12435933/6e080eb6d901/rb-58-e20250019-g09.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1062/12435933/6f03eb4b1bfc/rb-58-e20250019-g10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1062/12435933/0645d2135d3a/rb-58-e20250019-g11.jpg

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本文引用的文献

1
Role of Cardiac Magnetic Resonance Imaging in the Evaluation of MINOCA.心脏磁共振成像在心肌梗死伴非阻塞性冠状动脉病变评估中的作用
J Clin Med. 2023 Mar 3;12(5):2017. doi: 10.3390/jcm12052017.
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Diagnostic and Prognostic Role of Cardiac Magnetic Resonance in MINOCA: Systematic Review and Meta-Analysis.MINOCA 中心脏磁共振的诊断和预后作用：系统评价和荟萃分析。
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J Geriatr Cardiol. 2020 Jul 28;17(7):447-448. doi: 10.11909/j.issn.1671-5411.2020.07.010.
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Takotsubo cardiomyopathy: Review of broken heart syndrome.心尖球形综合征（Takotsubo 心肌病）：心碎综合征综述。
JAAPA. 2020 Mar;33(3):24-29. doi: 10.1097/01.JAA.0000654368.35241.fc.
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Eur Heart J. 2018 Jun 7;39(22):2032-2046. doi: 10.1093/eurheartj/ehy076.
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Takotsubo Cardiomyopathy: Typical and Atypical Variants, A Two-Year Retrospective Cohort Study.应激性心肌病：典型与非典型变体，一项为期两年的回顾性队列研究。
Cardiol Res. 2014 Oct;5(5):139-144. doi: 10.14740/cr349w. Epub 2014 Oct 6.
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J Cardiovasc Magn Reson. 2016 Oct 12;18(1):68. doi: 10.1186/s12968-016-0279-5.
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Differences in the Clinical Profile and Outcomes of Typical and Atypical Takotsubo Syndrome: Data From the International Takotsubo Registry.典型和非典型 Takotsubo 综合征的临床特征和结局差异：来自国际 Takotsubo 注册研究的数据。
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