心绞痛患者的逆行Takotsubo心肌病

Journal of Medical Cases Pub Date : 2022-08-01 Epub Date: 2022-08-19 DOI:10.14740/jmc3951
Yasir Ahmed, Muhammad Rafique, Sajjad Ahmad, Bassam Omar, Christopher Malozzi
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引用次数: 1

摘要

Takotsubo心肌病(TCM),也称为应激性心肌病或“心碎综合征”,其特征是在没有阻塞性冠状动脉疾病或急性斑块破裂的情况下,急性一过性局部左室收缩功能障碍。非典型形式和罕见的解剖变异可以有不同的表现;因此,认可变得更加重要。如果处理得当,预后要好得多。心脏骤停的一个同样罕见的原因是心功能紊乱(CC)。这被定义为继发于钝性胸壁撞击导致室性心律失常的心源性猝死。我们报告一例在机动车事故中钝性胸部创伤患者的中医和/或CC检查结果。
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Reverse Takotsubo Cardiomyopathy in a Patient With Commotio Cordis.

Takotsubo cardiomyopathy (TCM), also known as stress cardiomyopathy or "broken heart syndrome", is characterized by acute transient regional left ventricular systolic dysfunction in the absence of obstructive coronary artery disease or acute plaque rupture. Atypical forms and rare anatomical variants can have different presentations; hence, recognition becomes more important. Prognosis is much more favorable if managed appropriately. An equally infrequent cause of cardiac arrest is commotio cordis (CC). This is defined as sudden cardiac death secondary to a blunt chest wall impact leading to ventricular arrhythmias. We report a case with findings of TCM and/or CC in a patient with a blunt chest trauma in the setting of motor vehicle accident.

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