一个Takotsubo心肌病与登革热病例报告
K V P Munasinghe1, F H D S Silva1,2
1General Medicine, Colombo South Teaching Hospital, Colombo, LKA.
Cureus
|September 4, 2023
概括
登革热感染引发了一位老年妇女的takotsubo心肌病,出现胸痛和心脏功能障碍. 登革热和心脏症状都在保守的管理下得到解决.
科学领域:
- 心脏病学 心脏病学
- 传染性疾病 传染性疾病
背景情况:
- 登革热是严重的公共卫生问题,特别是在热带地区.
- 心脏并发症虽然很少发生,但在登革热感染期间可能会发生.
- 塔科茨博心肌病是一种非缺血性心肌功能障碍的形式.
研究的目的:
- 报告一种因登革热感染而出现的二次性takotsubo心肌病症.
- 描述这种罕见疾病的临床表现,诊断结果和治疗方法.
- 为了突显登革热中心脏参与的可能性.
主要方法:
- 一个74岁的妇女被诊断出患有登革热感染的案例研究.
- 临床评估包括心电图 (ECG),心脏生物标志物 (高灵敏度的素) 和心声回声图.
- 管理人员遵循国家登革热指南和保守的心脏护理.
主要成果:
- 患者呈现出发烧,胸痛,ST升高,T逆转,以及高位素.
- 心声检查显示了严重的左心室功能障碍与顶气球,与 takotsubo心肌病相一致.
- 患者康复了,没有出现严重的登革热并发症或需要特殊的心脏干预.
结论:
- 登革热感染可能会导致心肌病症.
- 保守的管理可能是有效的登革热相关的 takotsubo心肌病.
- 心脏功能障碍的完全解决与登革热的解决同时发生.
相关概念视频
Cardiomyopathy II: Dilated Cardiomyopathy
11
Dilated cardiomyopathy, or DCM, is a progressive myocardial disorder characterized by ventricular chamber dilation and contractile dysfunction.EtiologyVarious factors can cause DCM, including hypertension and heavy alcohol intake, which contribute to the weakening and enlargement of the heart muscle. Viral infections, such as Coxsackievirus B, adenoviruses, and influenza, can lead to DCM by causing inflammation and damage to heart tissue. Certain chemotherapeutic agents, including daunorubicin,...
11
Cardiomyopathy III: Hypertrophic Cardiomyopathy
16
Hypertrophic cardiomyopathy, or HCM, is an autosomal dominant genetic disorder characterized by asymmetric left ventricular hypertrophy without ventricular dilation. It is more common in men and is typically diagnosed in young, athletic adults.EtiologyHCM is primarily genetic and is caused by mutations in genes encoding sarcomeric proteins. Researchers have identified over 1400 mutations across at least 11 different genes. Among these, the most frequently occurring mutations are found in the...
16
Cardiomyopathy I: Introduction and Classification
15
Cardiomyopathy, or CMP, is a group of diseases affecting the myocardial structure, impairing its ability to pump blood effectively. This condition can lead to arrhythmias, heart failure, or sudden cardiac death.Cardiomyopathies are classified into primary and secondary categories:Primary Cardiomyopathy refers to conditions involving only the heart muscle that are often idiopathic (of unknown cause) or genetic. They primarily affect the myocardium without the involvement of other systemic...
15
Rheumatic Heart Disease I: Introduction
16
Rheumatic heart disease or RHD is a chronic condition that results from rheumatic fever, causing permanent damage to the heart valves.Etiology and Risk FactorsIt primarily arises from rheumatic fever, an inflammatory disease that can develop after untreated or inadequately treated group A streptococcal (GAS) pharyngitis. Streptococcus spreads through direct contact with oral or respiratory secretions. While the bacteria are the causative agents, factors like malnutrition, overcrowding, poor...
16
Myocarditis II: Clinical Features and Diagnostic Tests
12
Myocarditis is an inflammation of the heart muscle. The symptoms vary widely, encompassing asymptomatic presentations to severe, acute manifestations.Clinical PresentationAsymptomatic cases: In some instances, myocarditis may be asymptomatic, with the infection resolving without intervention. These cases often go undetected unless discovered incidentally through diagnostic imaging or tests conducted for other reasons.General Early Symptoms: Early symptoms of myocarditis are non-specific and can...
12
Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies
38
The key clinical manifestations of Rheumatic heart disease (RHD) include several distinct cardiac symptoms.Carditis, a hallmark of acute rheumatic fever, involves inflammation of the heart's endocardium, myocardium, and pericardium. Chronic RHD often results from recurrent episodes of carditis. Its symptoms include the following:Murmurs are caused by valvular damage, especially to the mitral and aortic valves. Mitral stenosis or regurgitation is common, with characteristic heart murmurs...
38


