12例心尖球形综合征的临床分析  

Clinical analysis of 12 cases of apical ballooning syndrome

作　　者：祁毅[1] 左明鲜[1] 卢静[1] 光雪峰[1] 彭春花[1] 尹妮[1] 

机构地区：[1]昆明医科大学附属延安医院心内科,云南昆明650051

出　　处：《云南医药》2016年第2期157-159,共3页Medicine and Pharmacy of Yunnan

基　　金：昆明医科大学应用基础研究联合专项基金(2010CD209)

摘　　要：目的分析12例心尖球形综合征(ABS)也称为心尖部心肌病的临床特征、鉴别诊断、治疗及预后。方法回顾性分析我院心内科2004年-2014年因胸痛行冠脉造影检查共7352例患者的临床及影像学检查资料,确诊ABS12例,总结分析12例患者的临床特点、鉴别诊断、治疗及预后。结果经治疗12例ABS患者症状逐渐缓解,心电图、心肌酶学改变恢复正常,随访1年患者无再发胸痛,无心衰及心源性死亡。结论 ABS极易误诊为急性冠脉综合症,需及时正确诊断及治疗,冠脉造影及左心室造影是鉴别二者的重要方法,发病前有明显应激因素有助于鉴别,预后良好。Objective To analysis of 12 cases of apical ballooning syndrome about clinical characteristics,differential diagnosis, treatment and prognosis. Methods To retrospectively analyze 7352 patients who had received coronary angiography examination because of chest pain in the department of cardiology from 2004 to 2014. 12 patients were diagnosed as ABS. To analyze the 12 patients of ABS in clinical characteristics, differential diagnosis,treatment and prognosis. Results 12 cases of patients with ABS achieved remission of symptoms after the treatment.Their electrocardiograms and myocardial enzymes returned to normal. These patients were followed up for 1 year and no recurrence of chest pain, heart failure and sudden cardiac death. Conclusion ABS is easy to be misdiagnosed as acute coronary syndrome. The correct diagnosis and early treatment are most important. Coronary angiography and left ventricular angiography are two important methods for the identification of ABS and ACS. There are obvious stress factors before the onset of ABS. This helps identify ABS and ACS. The prognosis of ABS is good.

关 键 词：心尖球形综合征 急性冠脉综合征 

分 类 号：R543.3[医药卫生—心血管疾病]