心肌桥合并Tako-tsubo心肌病1例报告并文献复习  

A Case Report and Literature Review of Myocardial Bridge Complicated With Tako-tsubo Cardiomyopathy

作　　者：洪李锋 罗松辉 项金洲 胡良焱 龚红萍 鲍俊英 

机构地区：[1]武汉市第五医院,武汉430050

出　　处：《内科急危重症杂志》2011年第6期345-347,共3页Journal of Critical Care In Internal Medicine

摘　　要：目的:探讨Tako-tsubo心肌病的临床表现。方法:对1例心肌桥合并Tako-tsubo心肌病患者的诊治过程进行追踪随访并复习相关文献。结果:二维超声心动图结合室壁运动分析是冠状动脉病变最有效的无创筛查手段;心室造影及冠脉造影有利于除外冠心病和先天性心脏畸形,是诊断Tako-tsubo心肌病的影像学"金标准"。结论:选择性地对急性胸痛患者进行包括心室造影在内的多种影像学检查可以有效提高Tako-tsubo心肌病的诊断率。To investigate the clinical manifestations of Tako-tsubo cardiomyopathy. Methods： Diagnosis and treatments of a case with myocardial bridge complicated with Tako-tsubo cardiomyopathy were followed up and reviewed with literatures. Results： Transthoracic two-dimensional echocardiography combined with the analysis of ventricular movement was the most effective and non-invasive method in screening Tako-tsubo cardiomyopathy; coronary angiography and left ventricular angiography which are helpful to rule out coronary heart disease and congenital heart defect were the ＂ gold standard＂ for imaging diagnosis of Tako-tsubo cardiomyopathy. Conclusions： Selective multiple imaging examinations which included left ventricular angiography may effectively improve the diagnostic rate of Tako-tsubo cardiomyopathy in patients with chest pain.

关 键 词：TAKO-TSUBO心肌病 心肌桥 左心室造影 冠状动脉造影 超声心动图 

分 类 号：R542.2[医药卫生—心血管疾病]