Tako-Tsubo综合症。本课题的处理方法及2例报告

C. Pazos
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引用次数: 0

摘要

Takotsubo综合征,或应激性心肌病,是一种相对罕见的短暂性和可逆性心肌病,尽管近年来其诊断有所增加,但其表现为急性冠脉综合征(ACS)或急性心力衰竭,其在拉丁美洲和古巴的确切发病率尚不清楚。本文报告我院收治的2例患者,年龄均为63岁和55岁,均为典型的心前压痛,1例为引发心理应激,2例为引发生理应激,心电图变化符合前路梗死和心源性休克,冠状动脉造影观察到冠状动脉正常,心室造影确定为左心室心尖球囊化综合征的特征性表现。6个月后恢复,临床进展良好。
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Tako-Tsubo syndrome. Approach to the subject and Report of 2 cases
Takotsubo syndrome, or stress cardiomyopathy, is a relatively rare transient and reversible cardiomyopathy, although its diagnosis has increased in recent years, it presents as an acute coronary syndrome (ACS) or acute heart failure, its incidence is unknown exactly in Latin America and in Cuba. We present 2 cases seen in our hospital, both 63 and 55-year-old women with typical precordial pressure pain, the first triggering psychological stress and the second physical, with electrocardiographic changes consistent with anterior infarction and cardiogenic shock, which were found in the coronary angiographic study observed normal coronary arteries and ventriculography determined apical ballooning of the left ventricle characteristic of the syndrome, with subsequent recovery and favorable clinical evolution at 6 months.
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