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在试图进行触发点注射后,压力诱导的心肌病.
Jillian Maloney1, Christopher Wie2, Audrey Keim3
1Mayo Clinic Arizona, Department of Anesthesiology, Division of Pain Medicine.
Pain medicine case reports
|November 27, 2025
概括
压力诱导心肌病 (SIC),或Takotsubo心肌病,可以模仿心脏病发作,但缺乏冠状动脉疾病. 在医疗程序期间迅速识别对于患者管理至关重要.
科学领域:
- 心脏病学 心脏病学
- 心血管医学 心血管医学
- 内部医学 内部医学
背景情况:
- 压力诱导心肌病 (SIC),也称为Takotsubo心肌病,呈现为短暂的左心室功能障碍.
- 它模仿心肌梗塞,但没有阻塞性冠状动脉疾病.
- 确切的发病因是未知的,但可能涉及甲基胺诱导的心脏毒性.
研究的目的:
- 在医疗程序后报告一位老年妇女SIC病例.
- 强调在类似的临床场景中识别SIC的重要性.
主要方法:
- 一个85岁的妇女的病例报告显示,她在触发点注射后出现了症状.
- 诊断工作包括心脏标记物和冠状动脉血管学.
- 根据临床表现和阴性血管造影结果,SIC的诊断得到了确认.
主要成果:
- 经过触发点注射后,患者经历了头,恶心和虚弱.
- 检测到心脏标志物升高.
- 冠状动脉扫描显示没有显著的冠状动脉疾病,导致SIC的诊断.
结论:
- SIC可以发生在常见的医疗程序之后.
- 在手术过程中提高对SIC的认识对于及时诊断至关重要.
- 管理程序性压力对于预防SIC很重要.
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