Cardiopathia Fantastica: The Cardiac Variant of Munchausen Syndrome
Cardiopathia Fantastica: The Cardiac Variant of Munchausen Syndrome
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幻想性心脏病：孟乔森综合征的心脏病变体
DOI：
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发表时间：
2004
期刊：
影响因子：
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通讯作者：
A. Peiris
中科院分区：
文献类型：
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作者：
Ted A Park;M. Borsch;A. Dyer;A. Peiris
孟乔森综合征是一种罕见的疾病，患者因人为疾病而反复寻求医疗护理。孟乔森心脏综合征于 1953 年首次报道，后来被称为幻想性心脏病。其特征是假装且反复发作的急性心脏病的临床表现。幻想性心脏病可以有多种与真正的心脏病相似的表现。大多数病例表现为模拟急性冠状动脉疾病的胸痛，但也注意到心律失常、高血压危象、异常生化和心电图检查结果。这些患者愿意接受昂贵的、侵入性的、有风险的手术来评估他们的模拟疾病。这种情况可能被严重低估。在某些患者中，临床上不重要的异常发现的存在可能会使研究方法变得复杂。患有这种疾病的患者消耗了不成比例的医疗费用，有时还会因侵入性手术的并发症而留下残余赤字。在这篇综述中，我们讨论了幻想性心脏病的认识、表现和治疗。
Munchausen syndrome is a rare condition in which the patient repeatedly seeks medical care for factitious illnesses. Cardiac Munchausen syndrome was first reported in 1953 and later referred to as cardiopathia fantastica. It is characterized by clinical manifestations of acute cardiac disease that are feigned and recurrent. Cardiopathia fantastica can have a variety of presentations similar to true cardiac disease. Most cases have presented with chest pain simulating acute coronary artery disease, but arrhythmias, hypertensive crises, abnormal biochemistry, and electrocardiographic findings have also been noted. These patients are willing to undergo expensive, invasive, and risky procedures to evaluate their simulated illness. This condition is likely to be significantly underreported. In some patients, the presence of abnormal findings that are clinically insignificant may complicate the investigative approach. Patients with this disorder consume a disproportionate amount of health care dollars and sometimes are left with residual deficits as complications of invasive procedures. In this review, we discuss the recognition, manifestations, and treatment of cardiopathia fantastica.