摘要
应激性心肌病是以急性短暂性左心室收缩功能障碍为特征的心肌病。临床上应激性心肌病常与急性心肌梗死难以区分,且在临床表现中难以鉴别。本文通过描述1例以气促为首发表现的应激性心肌病案例,汇报该患者的临床表现、实验室检查、影像学特点和治疗方案。复习应激性心肌病相关文献,并总结该病的诊断标准、治疗和鉴别诊断。本病例提示以气促为首发表现的患者应注意在心电图、心肌酶、肌钙蛋白、脑利钠肽前体、冠脉造影和左室造影等方面鉴别应激性心肌病与急性冠脉综合征、肺栓塞和病毒性心肌炎等。
Stress cardiomyopathy is characterized by acute transient left ventricular systolic dysfunction.Clinically,stress cardiomyopathy is often indistinguishable from acute myocardial infarction,and is difficult to distinguish in clinical manifestations.In this article,we described a case of stress cardiomyopathy with shortness of breath as the first manifestation and reported the clinical manifestations,laboratory examination,imaging features,and treatment plan of this case.A literature review was conducted to get information about the diagnostic criteria,treatment,and differential diagnosis of stress cardiomyopathy.This case suggests that for patients with shortness of breath as the first manifestation,ECG,myocardial enzyme,troponin,brain natriuretic peptide precursor,coronary angiography,left ventricular angiography and other aspects shall be paid attention to distinguish stress cardiomyopathy from acute coronary syndrome,pulmonary embolism and viral myocarditis.
作者
张灿
邓平
ZHANG Can;DENG Ping(Graduate School,Hunan University of Chinese Medicine,Hunan,Changsha 410000,China;Department of Cardiology,Changsha Central Hospital,Hunan,Changsha 410000,China)
出处
《中国医药科学》
2023年第20期196-198,共3页
China Medicine And Pharmacy
关键词
气促
应激性心肌病
肌钙蛋白
脑利钠肽前体
Shortness of breath
Stress cardiomyopathy
Troponin
Brain na triuretic peptide precursor
