Spontaneous Coronary Artery Dissection Misdiagnosed as Takotsubo Cardiomyopathy: A Case Series

被引：25

作者：

Chou, Annie Y. ^{[1
]}

Sedlak, Tara ^{[1
]}

Aymong, Eve ^{[2
]}

Sheth, Tej ^{[3
]}

Starovoytov, Andrew ^{[1
]}

Humphries, Karin H. ^{[2
]}

Mancini, G. B. John ^{[1
]}

Saw, Jacqueline ^{[1
]}

机构：

[1] Univ British Columbia, Vancouver Gen Hosp, Div Cardiol, Vancouver, BC V5Z 1M9, Canada

[2] Univ British Columbia, St Pauls Hosp, Div Cardiol, Vancouver, BC V5Z 1M9, Canada

[3] McMaster Univ, Hamilton Gen Hosp, Div Cardiol, Hamilton, ON, Canada

来源：

CANADIAN JOURNAL OF CARDIOLOGY | 2015年 / 31卷 / 08期

基金：

加拿大健康研究院;

关键词：

D O I：

10.1016/j.cjca.2015.03.018

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Spontaneous coronary artery dissection (SCAD) and Takotsubo cardiomyopathy (TTC) can both cause myocardial infarction with subsequent normalization of wall motion abnormality. Angiograms of patients with TTC at Vancouver General Hospital were reviewed for SCAD. Clinical and investigational characteristics were recorded. Nine women with nonatherosclerotic SCAD were misdiagnosed as having TTC. Their average age was 55 years. Five patients had hypertension and 4 had emotional or physical stress. Fibromuscular dysplasia was present in 4 women. Wall motion abnormalities corresponded to dissected artery location and subsequently resolved. SCAD should be included in the differential diagnosis of patients suspected of having TTC and coronary angiograms scrutinized for subtle SCAD.

引用

页码：1073.e5 / 1073.e8

页数：4

共 5 条

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