| 张灿1，邓平2.以气促为首发表现的应激性心肌病1例[J].中国医药科学,2023,(20):196-198 基金项目: |
| 以气促为首发表现的应激性心肌病1例 |
| A case study of stress cardiomyopathy with shortness of breath as the first manifestation |
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| DOI： |
| 中文关键词: 气促；应激性心肌病；肌钙蛋白；脑利钠肽前体 |
| 英文关键词:Shortness of breath; Stress cardiomyopathy; Troponin; Brain natriuretic peptide precursor |
| 作者 | 单位 | | 张灿1，邓平2 | 1.湖南中医药大学研究生院，湖南长沙 410000；2.长沙市中心医院心内科，湖南长沙 410000 |
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| 中文摘要: |
| [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。 |
| 英文摘要: |
| [Abstract] 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. |
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