Tako-tsubo cardiomyopathy in a patient with bilateral lesions in the dorsal medulla

被引：22

作者：

Berganzo, Koldo ^{[1
,2
]}

Ciordia, Roberto ^{[1
,2
]}

Gomez-Esteban, Juan C. ^{[1
,2
]}

Tijero, Beatriz ^{[1
,2
]}

Agundez, Marta ^{[1
,2
]}

Velasco, Fernando ^{[1
,2
]}

Valle, Maria A. ^{[1
,2
]}

Zarranz, Juan J. ^{[1
,2
]}

机构：

[1] Hosp Cruces, Dept Neurol, Baracaldo 48903, Vizcaya, Spain

[2] Univ Basque Country UPV EHU Bilbao, Dept Neurosci, Bilbao, Spain

来源：

CLINICAL AUTONOMIC RESEARCH | 2011年 / 21卷 / 01期

关键词：

Tako-tsubo cardiomyopathy; Solitary tract nucleus; Baroreflex failure; BAROREFLEX FAILURE; CRISIS;

D O I：

10.1007/s10286-010-0088-0

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Tako-tsubo-like cardiomyopathy (TTC) is much more common than originally thought. The exact pathophysiology of TTC is unclear. The most accepted theory proposes myocardial stunning of neurogenic origin, supported by the frequent antecedent of emotional or physical stress, suggesting a catecholamine-mediated mechanism. We present a patient with this syndrome and bilateral damage of the dorsal medulla oblongata likely affecting both solitary tract nuclei. Our case points to a link between baroreflex failure and TTC, highlighting the important role of sympathetic discharge in the pathophysiology of TTC.

引用

页码：65 / 67

页数：3

共 8 条

[1] The arterial baroreflex Functional organization and involvement in neurologic disease
Benarroch, Eduardo E.
[J]. NEUROLOGY, 2008, 71 (21) : 1733 - 1738
[2] BAROREFLEX FAILURE IN A PATIENT WITH CENTRAL-NERVOUS-SYSTEM LESIONS INVOLVING THE NUCLEUS-TRACTUS-SOLITARII
BIAGGIONI, I
WHETSELL, WO
JOBE, J
NADEAU, JH
[J]. HYPERTENSION, 1994, 23 (04) : 491 - 495
[3] Four faces of baroreflex failure - Hypertensive crisis, volatile hypertension, orthostatic tachycardia, and malignant vagotonia
Ketch, T
Biaggioni, I
Robertson, R
Robertson, D
[J]. CIRCULATION, 2002, 105 (21) : 2518 - 2523
[4] Apical and midventricular transient left ventricular dysfunction syndrome (Tako-Tsubo cardiomyopathy)
Kurowski, Volkhard
Kaiser, Axel
von Hof, Katharina
Killermann, Dirk P.
Mayer, Bjoern
Hartmann, Franz
Schunkert, Heribert
Radke, Peter W.
[J]. CHEST, 2007, 132 (03) : 809 - 816
[5] Pheochromocytoma crisis presenting with shock and tako-tsubo-like cardiomyopathy
Lassnig, Elisabeth
Weber, Thomas
Auer, Johann
Noemeyer, Roland
Eber, Bernd
[J]. INTERNATIONAL JOURNAL OF CARDIOLOGY, 2009, 134 (03) : E138 - E140
[6] THE DIAGNOSIS AND TREATMENT OF BAROREFLEX FAILURE
ROBERTSON, D
HOLLISTER, AS
BIAGGIONI, I
NETTERVILLE, JL
MOSQUEDAGARCIA, R
ROBERTSON, RM
[J]. NEW ENGLAND JOURNAL OF MEDICINE, 1993, 329 (20) : 1449 - 1455
[7] Clinical Characteristics of Tako-Tsubo Cardiomyopathy
Vidi, Venkatesan
Rajesh, Vinutha
Singh, Premranjan P.
Mukherjee, Jayanta T.
Lago, Rodrigo M.
Venesy, David A.
Waxman, Sergio
Pyne, Christopher T.
Piemonte, Thomas C.
Gossman, David E.
Nesto, Richard W.
[J]. AMERICAN JOURNAL OF CARDIOLOGY, 2009, 104 (04) : 578 - 582
[8] Neurohumoral features of myocardial stunning due to sudden emotional stress
Wittstein, IS
Thiemann, DR
Lima, JAC
Baughman, KL
Schulman, SP
Gerstenblith, G
Wu, KC
Rade, JJ
Bivalacqua, TJ
Champion, HC
[J]. NEW ENGLAND JOURNAL OF MEDICINE, 2005, 352 (06) : 539 - 548

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