Takotsubo syndrome短期复发1例  

Very early recurrence of Takotsubo syndrome

作　　者：李强[1] 徐兆龙[1] 刘仁光[1] 李玉宏[2] 

机构地区：[1]辽宁医学院附属第一医院心内科,辽宁锦州121000 [2]辽宁医学院附属第一医院彩超室

出　　处：《临床心血管病杂志》2014年第2期179-180,共2页Journal of Clinical Cardiology

摘　　要：1病例资料患者,女,82岁。＂胸闷1h＂入急诊室后突发心室颤动（室颤）,电复律后转入CCU病房。复律后心电图示：V2~V6、Ⅰ、aVL ST抬高0.1~0.7mV,频发室性期前收缩。否认高血压病、糖尿病病史。体检：BP 158/76mmHg（1mmHg=0.133kPa）,P：92次/min;神志清楚,心肺听诊未见异常;30min后抬高的ST段均回落，且抬高最显著的V4、V5导联ST段回落〉50％；心肌肌钙蛋白（cTn）T1．6ng／ml。初诊急性广泛前壁心肌梗死。因胸闷改善，按急性心肌梗死常规药物治疗。次日，无胸闷，An 82-year-old female presented chest pain lasting for one hour.The electrocardiogram on admission revealed ventricular fibrillation as well as ST segment elevation,suggesting acute myocardium infarction. After admission,the clinical condition improved obviously.However,chest pain recurred again on the fourth day triggered by psychologically stressful event.The echocardiogram showed left ventricular apical ballooning.Therefore,the diagnosis of Takotsubo syndrome was made.

关 键 词：左室心尖球囊综合征 复发 心脏超声 

分 类 号：R542.2[医药卫生—心血管疾病]