Późna postać zespołu takotsubo w przebiegu zatorowości płucnej

A. Wilk, W. Król, Marcin Konopka, Anna K Żarek-Starzewska, Wojciech Braksator
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Abstract

Takotsubo syndrome (TTS) is an acute condition characterized by transient decrease of regional contractility most often involving apical segments of left ventricle. We present the case report of 87-year old woman diagnosed with intermediate-high risk acute pulmonary embolism, previously discharged in a stable condition, who was presented again to the Emergency Department because of a syncope and increasing levels of troponin. After differential diagnostics including coronaroangiography and transthoracic echocardiography complemented by the longitudinal strain assessment with the use of speckle tracking echocardiography a diagnosis of takotsubo cardiomyopathy was made. This case shows the significance of strain echocardiography in diagnostics of TTS.
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肺栓塞中晚期takotsubo综合征
Takotsubo综合征(TTS)是一种急性疾病,其特征是局部收缩力短暂下降,最常见的是左心室心尖段。我们报告了一例87岁的妇女,她被诊断为中高风险急性肺栓塞,之前出院时情况稳定,由于晕厥和肌钙蛋白水平升高,她再次出现在急诊科。在包括冠状动脉造影和经胸超声心动图在内的鉴别诊断,辅以斑点追踪超声心动图的纵向应变评估后,诊断为takotsubo心肌病。该病例显示了应变超声心动图在TTS诊断中的意义。
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