蘇北人民醫(yī)院徐日新(存儲版)
【正文】 r M, et al. Transient left ventricular apical ballooning and exercise induced hypertension during treadmill exercise testing: is there a mon hypersympathetic mechanism [J]? Cardiovasc Ultrasound. 2020, 6(1):37. ? [8] De Roock S, Beauloye C, De Bauwer I, et al. Takotsubo syndrome following nortriptyline overdose [J]. Clin Toxicol, 2020, 46(5):475478. ? [9] Previtali M, Repetto A, Panigada S, et al. Left ventricular apical ballooning syndrome: Prevalence, clinical characteristics and pathogeic mechanisms in a European population [J]. Int J Cardiol, 2020, May 26. [Epub ahead of print]. 病因與發(fā)病機理 ? 冠狀動脈結構異常：應激性心肌病病人的冠狀動脈前降支往往繞過心尖，在心臟的膈面走行一段較長的距離，當旋段指數(shù) O． 16時，應激性心肌病的發(fā)生概率大為增加 [10] 。 ? 心肌損傷的生化改變與臨床表現(xiàn)及心電圖、心超變化不匹配。 ? 6月內(nèi)恢復正常， 82%最終心電圖完全正常。 診斷 Abe等將應激性心肌病可分為原發(fā)性和繼發(fā)性 2種。 ? ④除外最近的頭部外傷、顱內(nèi)出血、嗜鉻細胞瘤、阻塞性心外膜冠狀動脈疾病、心肌炎、肥厚型心肌病。 ? [13] Valbusa A, Abbadessa F, Giachero C, et al. Longterm followup of TakoTsubolike syndrome: a retrospective study of 22 cases[J]. J Cardiovasc Med, 2020, 9(8):805809. [14] Eshtehardi P, Koestner SC, Adorjan P, et al. Transient apical ballooning syndrome clinical characteristics, ballooning pattern, and longterm followup in a Swiss population [J]. Int J Cardiol, 2020, Jul 1. [Epub ahead of print]. 小結 ? TakoTsubo心肌病是一預后良好
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