植入心脏起器后的塔科苏博综合征:一个系统性审查
Antonio Strangio1,2, Isabella Leo1,3, Jolanda Sabatino4
1Department of Medical and Surgical Sciences, Magna Graecia University, 88100 Catanzaro, Italy.
Reviews in cardiovascular medicine
|July 30, 2024
概括
在心脏起器植入后,Takotsubo综合征 (TTS) 很少发生. 虽然大多数患者完全康复,但临床监测对于早期诊断和降低风险至关重要.
科学领域:
- 心脏病学 心脏病学
- 心脏电生理学 心脏电生理学
背景情况:
- 塔科苏博综合征 (TTS) 是一种类似于急性冠状动脉综合征 (ACS) 的急性心脏病.
- 通常,TTS是由情绪或身体压力引发的.
- 在心脏起器植入后报告了TTS的零星病例.
研究的目的:
- 为提供心脏起器植入诱导的TTS的全面概述.
- 系统地审查有关这种罕见并发症的现有文献.
主要方法:
- 对现有文献进行系统审查.
- 包括病例报告和一个注册表研究.
- 分析了28名患者的数据.
主要成果:
- 大多数病例 (75%) 发生在女性身上,平均年龄为74岁.
- 在92.3%的患者中,观察到心脏功能完全恢复,平均7周.
- 常见的并发症是高血压;病例死亡率为3.6%.
结论:
- 意识到TTS在心脏起器植入后是很重要的.
- 建议进行仔细的临床监测,包括每日心电图和心声回声图.
- 早期诊断和降低风险是患者结果的关键.
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