Reversible T-Wave Inversions and Neurogenic Myocardial Stunning in a Patient with Recurrent Stress-Induced Cardiomyopathy

被引：5

作者：

Akutsu, Yasushi ^{[1
,3
]}

Kaneko, Kyouichi ^{[1
]}

Kodama, Yusuke ^{[1
]}

Li, Hui-Ling ^{[1
,3
]}

Suyama, Jumpei ^{[2
]}

Toshida, Tsutomu ^{[1
]}

Kayano, Hiroyuki ^{[1
]}

Shinozuka, Akira ^{[2
]}

Gokan, Takehiko ^{[2
]}

Kobayashi, Youichi ^{[1
]}

机构：

[1] Showa Univ Sch Med, Dept Med, Div Cardiol, Tokyo 1428666, Japan

[2] Showa Univ Sch Med, Dept Radiol, Tokyo, Japan

[3] Showa Univ Karasuyama Hosp, Dept Internal Med Cardiol, Clin Trial Ctr Clin Pharmacol, Tokyo, Japan

来源：

ANNALS OF NONINVASIVE ELECTROCARDIOLOGY | 2014年 / 19卷 / 03期

关键词：

noninvasive techniqueselectrocardiography; clinical; electrophysiologyautonomic nervous system; TAKO-TSUBO CARDIOMYOPATHY; TAKOTSUBO CARDIOMYOPATHY; PATTERN;

D O I：

10.1111/anec.12100

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A 72-year-old female was diagnosed as a stress-induced cardiomyopathy from apical ballooning pattern of left ventricular dysfunction without coronary artery stenosis after the mental stress. ECG showed the transient T-wave inversions after the ST-segment elevations. By the mental stress after 1 year, she showed a transient dysfunction with similar ECG changes again. T-wave inversions recovered earlier, and cardiac sympathetic dysfunction showed a lighter response corresponding to the less severe dysfunction than those after the first onset. Wellens' ECG pattern was associated with the degree of neurogenic myocardial stunning with sympathetic hyperinnervation caused by mental stress.

引用

页码：285 / 288

页数：4

共 23 条

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