Takotsubo syndrome

被引：33
作者：
Gupta, Sanjiv [1 ]
Gupta, Madan Mohan [2 ]
机构：
[1] NH Narayana Multispecial Hosp, Jaipur, Rajasthan, India
[2] Heart & Diabet Clin, B-19,Rajender Marg, Jaipur, Rajasthan, India
来源：
INDIAN HEART JOURNAL | 2018年 / 70卷 / 01期
关键词：
Left ventricular failure (LVF); Regional wall motion abnormalities (RWMA); Apical ballooning syndrome;
D O I：
10.1016/j.ihj.2017.09.005
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Takotsubo syndrome is a reversible acute heart failure frequently precipitated by an emotional or physical stress. The clinical presentation resembles acute coronary syndrome. Pathogenesis is complex and may involve brain-heart axis and neuro-hormonal stunning of the myocardium. Coronary angiography reveals normal epicardial arteries with no obstruction or spasm. NT-ProBNP maybe remarkably elevated. Regional wall motion akinesia (RWMA) of left ventricle extends beyond the territory of one coronary artery. Reduced left ventricle ejection fraction (LVEF) and RWMA recover in 612 weeks. Prognosis is generally good. Recent meta-analysis shows in-hospital mortality of 1-4.5% and recurrence rate of 5-10% during five year follow-up. (C) 2017 Published by Elsevier B.V. on behalf of Cardiological Society of India.
引用
收藏
页码：165 / 174
页数：10
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