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左心室垂动脉瘤是由takotsubo心肌病症引起的

Masaru Hiki¹, Tomohi Ajima¹, Mitsuhiro Takeuchi¹

¹Department of Cardiology, Juntendo University Nerima Hospital, Tokyo, Japan.

Journal of cardiology cases

|March 14, 2024

概括

塔科特苏博心肌病 (TC) 可能导致长期并发症,如左心室垂动脉瘤,挑战TC作为良性疾病的观点. 这一案例凸显了TC中潜在的不可逆转的心肌损伤.

科学领域:

心脏病学心脏病学
心血管成像 - 心血管成像
临床医学临床医学

背景情况:

塔科茨博心肌病 (TC) 通常被描述为可逆的左心室 (LV) 缩功能障碍.
以前的报道表明,TC的长期并发症不那么严重.

研究的目的:

报告一种罕见的TC病例导致LV形动脉瘤.
调查心肌损伤的存在及其对TC可逆性的影响.

主要方法:

一个78岁的高血压妇女的病例报告呈现出暗示心肌梗塞的症状.
诊断工作包括心电图,冠状动脉图,左心室图和心磁共振成像 (CMR) 与晚期加多增强 (LGE).

主要成果:

冠状动脉扫描排除了显著的冠状动脉狭窄,而左心室扫描显示了与TC相一致的顶峰动脉动.
CMR揭示了左心室垂动脉瘤和顶部的内心LGE,表明心肌损伤.
在连续心电图上观察到持续的ST段升高和T波逆转.

结论:

这种情况表明TC可能并不总是良性疾病,并且可能导致长期并发症,如LV形动脉瘤.
在LV壁中出现表心LGE可能表明心肌中TC的不可逆转的变化.
传统的理解TC作为一个完全可逆的条件需要重新考虑.

关键词:

心脏磁共振成像心脏磁共振成像晚期加多增强的加多增强左心室垂动脉瘤是什么?塔科苏博心肌病症心脏病发作

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