持续的长期结构,功能和代谢变化 后 压力诱导 (Takotsubo) 心肌病
Caroline Scally1, Amelia Rudd2, Alice Mezincescu2
1Aberdeen Cardiovascular and Diabetes Research Centre, University of Aberdeen, United Kingdom (C.S., A.R., A.M., H.W., J.S., P.B., D.K.D.). carolinescally@abdn.ac.uk.
Circulation
|November 13, 2017
概括
即使在初步康复后,也可能导致长期心力衰竭症状和心脏功能受损. 这项研究揭示了患者在最初的事件发生后长期持续的功能障碍.
科学领域:
- 心脏病学
- 心血管医学
- 心脏衰竭的研究
背景情况:
- 这是一种急性心力衰竭综合征,由情绪压力引发.
- 虽然左心室喷射小部分的初始恢复是常见的,但长期后果尚不清楚.
研究的目的:
- 为了研究takotsubo心肌病的长期临床和功能结果.
- 在之前的TTC患者中评估持续的心脏功能障碍和心力衰竭表型.
主要方法:
- 一项观察性病例对照研究,涉及37名TTC患者 (> 12个月后) 和37名匹配对照.
- 使用问卷 (明尼苏达州心力衰竭患者),心肺运动测试,心声扫描和使用31P光谱的心脏MRI.
主要成果:
- 88% 的TTC患者报告了持续的心力衰竭症状和运动限制.
- 在TTC患者中观察到心脏变形受损 (压力降低),T1原始映射升高,心脏能量降低 (脂蛋白/ ATP比率).
- 尽管喷射分数和生物标志物正常,但显著的亚临床心脏功能障碍是明显的.
结论:
- 与之前的看法相反,takotsubo心肌病会导致长期的临床后果.
- 患者会出现持续的症状和功能障碍,并出现亚临床心脏功能障碍.
- 在takotsubo心肌病之后,建立了长期心力衰竭表型.
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