Ampulla cardiomyopathy ('Takotusbo' cardiomyopathy) - Reversible left ventricular dysfunction with ST segment elevation

被引：224

作者：

Kawai, S

Suzuki, H

Yamaguchi, H

Tanaka, K

Sawada, H

Aizawa, T

Watanabe, M

Tamura, T

Umawatari, K

Kawada, M

Nakamura, T

Yamanaka, O

Okada, R

机构：

[1] Juntendo Univ, Sch Med, Dept Cardiol, Bunkyo Ku, Tokyo 1138421, Japan

[2] Cardiovasc Inst Hosp, Dept Internal Med, Tokyo, Japan

[3] Univ Tokyo, Dept Cardiol, Tokyo, Japan

[4] Mitsui Mem Hosp, Dept Cardiol, Tokyo 101, Japan

[5] Kagoshima Seikyou Hosp, Dept Cardiol, Kagoshima, Japan

[6] Kobe Natl Hosp, Kobe, Hyogo, Japan

[7] Int Goodwill Hosp, Dept Cardiol, Kawasaki, Kanagawa, Japan

来源：

JAPANESE CIRCULATION JOURNAL-ENGLISH EDITION | 2000年 / 64卷 / 02期

关键词：

endomyocardial biopsy; ST elevation; stunned myocardium;

D O I：

10.1253/jcj.64.156

中图分类号：

N09 [自然科学史]; B [哲学、宗教];

学科分类号：

01 ; 0101 ; 010108 ; 060207 ; 060305 ; 0712 ;

摘要：

The clinicopathologic findings of reversible ampulla-like ventriculogram of the left ventricle were studied in 8 elderly women and one middle-aged man. Their coronary arteriograms were normal, even in the 7 patients who had ST elevation on electrocardiogram. Coronary spasm was positive in only 2 of the 7 patients who received provocation rests. Biopsy specimens revealed focal myocyte injury. Normal coronary arteriograms during ST elevation and the presence of pathologic myocardial lesions were not consistent with a concept of stunned myocardium. The presence of myocardial lesions suggested that focal and disseminated myocardial damage had occurred.

引用

页码：156 / 159

页数：4

共 10 条

[1] ANGIOGRAPHIC DEMONSTRATION OF SPONTANEOUS DIFFUSE 3 VESSEL CORONARY-ARTERY SPASM [J].