Takotsubo cardiomyopathy

被引:25
|
作者
Matta, Anthony [1 ,2 ]
Delmas, Clement [1 ]
Campelo-Parada, Francesco [1 ]
Lhermusier, Thibault [1 ]
Bouisset, Frederic [1 ]
Elbaz, Meyer [1 ]
Nader, Vanessa [1 ]
Blanco, Stephanie [1 ]
Roncalli, Jerome [1 ]
Carrie, Didier [1 ]
机构
[1] Toulouse Univ Hosp, Dept Cardiol, F-31000 Toulouse, France
[2] Holy Spirit Univ Kaslik, Fac Med, Jounieh 446, Lebanon
关键词
Takotsubo cardiomyopathy; Heart failure; Apical ballooning syndrome; Acute coronary syndrome; Cardiac MRI; APICAL BALLOONING SYNDROME; OUTFLOW TRACT OBSTRUCTION; IN-HOSPITAL MORTALITY; LATE GADOLINIUM ENHANCEMENT; ST-SEGMENT ELEVATION; TAKO-TSUBO; CLINICAL-FEATURES; MYOCARDIAL-INFARCTION; PREVALENCE; DYSFUNCTION;
D O I
10.31083/j.rcm2301038
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Takotsubo cardiomyopathy (TTC) is a clinical condition of transient acute heart failure correlated to regional wall motion abnormalities extending beyond the distribution of a single epicardial coronary artery. It is classified into four major types: apical, basal, mid-ventricular and focal. Sympathetic nerve stimulation and catecholamine storm are the main players in the pathogenesis of TTC. The clinical course of disease is generally benign but it may end with life-threatening complications. Coronary angiography, left ventriculogram, transthoracic echocardiography and cardiac magnetic resonance imaging (CMR) are the main tools for making diagnosis. Except for critical cases with hemodynamic instability and/or complications, the overall management is limited to conventional heart failure therapy.
引用
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页数:8
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