Patient with Gender Dysphoria Diagnosed with Multiple Sclerosis Following Takotsubo Cardiomyopathy and Ventricular Arrhythmia: A Case Report and Systematic Literature Review

被引：1

作者：

Yamanaka, Shinya ^{[1
]}

Nishihara, Mariko ^{[1
]}

Kondo, Madoka ^{[2
]}

Miyata, Kotaro ^{[3
]}

Dai, Zhehao ^{[3
,4
]}

Kawai, Fujimi ^{[5
]}

Komiyama, Nobuyuki ^{[3
]}

机构：

[1] St Lukes Int Hosp, Dept Internal Med, Tokyo, Japan

[2] St Lukes Int Hosp, Dept Neurol Med, Tokyo, Japan

[3] St Lukes Int Hosp, Dept Cardiovasc Med, Tokyo, Japan

[4] Univ Tokyo, Grad Sch Med, Dept Cardiovasc Med, Tokyo, Japan

[5] St Lukes Int Univ, Dept Acad Resources, Tokyo, Japan

来源：

INTERNAL MEDICINE | 2024年 / 63卷 / 23期

基金：

日本学术振兴会;

关键词：

multiple sclerosis; takotsubo cardiomyopathy; ventricular arrythmia; systematic literature review; PULMONARY-EDEMA; LESION;

D O I：

10.2169/internalmedicine.3442-23

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A 34-year-old transgender woman presented with ventricular tachycardia and was diagnosed with takotsubo cardiomyopathy. Further evaluation revealed an underlying diagnosis of multiple sclerosis (MS) with brainstem lesions that may have triggered takotsubo cardiomyopathy. In this report, we also systematically reviewed published cases of takotsubo cardiomyopathy and MS and found that basal type takotsubo cardiomyopathy was the most common, and most patients presented with brainstem involvement of MS. An awareness of these associations by physicians, along with multidisciplinary collaboration, may facilitate the early diagnosis and improve the prognosis of these patients.

引用

页码：3189 / 3195

页数：7

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