可逆性左心室功能障碍与甲亢相关的“takotsubo”心肌病。

Shinsuke Miyazaki, Tetsuo Kamiishi, Noriyo Hosokawa, Masatoshi Komura, Hideo Konagai, Hiroshi Sagai, Toshihiko Takamoto
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引用次数: 35

摘要

心肌昏迷合并甲亢是罕见的。一位79岁的甲状腺功能亢进妇女因阵发性心房颤动引起心悸而入院。超声心动图显示入院前2周未观察到的心尖壁运动。急性期行心导管检查显示冠状动脉正常,无诱发性痉挛迹象。住院1周后壁运动异常完全消失。我们报告一例短暂性左心室功能障碍,即所谓的“takotsubo”心肌病,与甲状腺功能亢进有关。
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Reversible left ventricular dysfunction "takotsubo" cardiomyopathy associated with hyperthyroidism.

Myocardial stunning with hyperthyroidism is rare. A 79-year old woman with hyperthyroidism was admitted to our hospital complaining of palpitations due to paroxysmal atrial fibrillation. An echocardiogram showed akinesis of the apical wall which was not observed 2 weeks before admission. Cardiac catheterization performed in the acute phase showed normal coronary arteries and no evidence of provocative spasms. The wall motion abnormality disappeared entirely after 1 week in hospital. We report a case of transient left ventricular dysfunction, so called "takotsubo" cardiomyopathy, associated with hyperthyroidism.

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