Hypertrophic Obstructive Cardiomyopathy and Takotsubo Syndrome: Could They Coexist?

P. Egea-Serrano, Ivan Keituqwa, A. Pelaez, J. Gimeno
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引用次数: 1

Abstract

Introduction: Takotsubo syndrome (TKS) is generally caused by a stressful condition, and it usually has a good prognosis after the recovery of left ventricular function. About 70% of the cases of hypertrophic cardiomyopathy may develop obstruction in the left ventricular outflow tract (LVOT), which is responsible for heart failure. Case Presentation: We present a unique case where TKS occurred in a middle-aged male patient with hypertrophic obstructive cardiomyopathy (HOCM) without a clearly identifiable initial stress trigger. Conclusions: In the setting of acute left ventricular function depression in HOCM, a comprehensive differential diagnosis should be established. Treatment should be based on hemodynamic changes. After recovery, the prognosis is related to HOCM.
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肥厚性梗阻性心肌病和Takotsubo综合征:它们能共存吗?
Takotsubo综合征(Takotsubo syndrome, TKS)一般由应激状态引起,通常在左心室功能恢复后预后较好。约70%的肥厚性心肌病患者可发展为左心室流出道梗阻,这是导致心力衰竭的原因。病例介绍:我们提出一个独特的情况下,TKS发生在一个中年男性患者肥厚性阻塞性心肌病(HOCM)没有明确识别的初始应激触发。结论:HOCM急性左室功能下降应进行全面的鉴别诊断。治疗应基于血流动力学变化。恢复后,预后与HOCM有关。
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