双腔起搏器术后应激性心肌病一例  

Takotsubo Cardiomyopathy Following Pacemaker Implantation:a Case Report

作　　者：何亚菲[1] 刘菁晶[1] 林文华[1] HE Yafei;LIU Jingjing;LIN Wenhua(Department of Cardiology,TEDA International Cardiovascular Hospital,Tianjin 300457,China)

机构地区：[1]泰达国际心血管病医院心内科,天津300457

出　　处：《中国循环杂志》2023年第7期767-770,共4页Chinese Circulation Journal

摘　　要：应激性心肌病的发生多与情绪激动或精神压力有关,多发生于绝经期女性。主要表现为一过性左心室功能受损,数周或数月后可恢复,预后好。本例患者为75岁女性,在起搏器术后出现急性心功能不全,冠状动脉造影未见狭窄病变,超声心动图及心脏磁共振成像提示心尖部运动消失,左心室射血分数下降,初步诊断为应激性心肌病,给予改善心功能治疗后3周复查,患者左心功能完全恢复,复查超声心动图提示心尖部室壁运动正常,应激性心肌病诊断明确。应激性心肌病虽然罕见,但可为绝经后女性起搏器植入后出现左心衰竭的潜在并发症。Takotsubo cardiomyopathy is a kind of non-ischemic cardiomyopathy often appearing after a stressful event.We described a case of acute heart failure shortly after pacemaker implantation in a 75-year-old female.Echocardiography showed apical hypokinesis with reduced ejection fraction.Coronary angiography showed no coronary artery stenosis.Patient was diagnosed as Takotsubo cardiomyopathy.Three weeks later,echocardiography showed normal ventricular wall-motion and normal left ventricular function.Cardiologists should recognize that Takotsubo cardiomyopathy might be a possible complication of permanent pacemaker implantation.

关 键 词：起搏器 应激性心肌病 左心室功能 女性 

分 类 号：R541.4[医药卫生—心血管疾病]