应激性心肌病研究进展及法医学意义  

Progress in Stress Cardiomyopathy and Its Forensic Application

作　　者：周小伟[1] 王云云[1] Anandas S 袁如霞 李浩然[1] 朱少华[1] 

机构地区：[1]华中科技大学同济医学院法医学系,湖北武汉430030 [2]舟山市普陀东港医院司法鉴定所,浙江舟山316000

出　　处：《法医学杂志》2015年第5期377-380,共4页Journal of Forensic Medicine

基　　金：国家自然科学基金面上项目(81172898)

摘　　要：应激性心肌病是一种由情绪或躯体应激诱发的非典型性心肌病,以左心室收缩功能障碍、影像学检查与心电图呈一过性改变为特点,严重者可发生猝死,其症状与急性心肌梗死相似,确切病理机制尚不清楚。本文结合国内外文献对该病的临床表现、流行病学特征、心电图及影像学检查及实验室检查进行综述,以期为法医病理学诊断提供帮助。Stress cardiomyopathy is an atypical myocardial disease induced by emotional or physical stress, with the characteristic of left ventricular systolic dysfunction, transient imaging and electrocardio- gram （ECG） changes. Sudden cardiac death can occur in severe cases. Clinical symptoms are likely to appear on acute myocardial infarction, but the exact pathological mechanism is unclear. In the present study, we perform a systematic review of the literature on the clinical manifestations, epidemiological characteristics, ECG, imaging and laboratory tests of stress cardiomyopathy, in order to provide the val- ues for forensic pathology diagnosis.

关 键 词：法医病理学 心肌疾病 综述[文献类型] 应激 

分 类 号：R542.202[医药卫生—心血管疾病]