A broken heart
A broken heart
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DOI：
10.1161/01.cir.98.13.1349
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发表时间：
1998-09-29
期刊：
影响因子：
37.8
通讯作者：
Kowey, PR
中科院分区：
文献类型：
--
作者：
Brandspiegel, HZ;Marinchak, RA;Kowey, PR
一名70岁的女性，既往没有心脏病史，当她得知与她结婚45年的丈夫因充血性心力衰竭和难治性室性心律失常在我院去世时，她因几乎虚脱和胸部不适而入院。心电图显示轻微的前 ST 段抬高和下外侧 ST 段压低，静脉注射硝酸甘油后缓解。心肌酶虽然轻微但明显升高。患者接受了心导管检查，结果显示冠状动脉正常。左心室造影显示前外侧运动不能和心尖运动功能减退，如图所示。患者出院时服用阿司匹林和氨氯地平。 3个月后复查超声心动图正常。她不记得整个住院过程，但仍然为她的丈夫感到悲伤。
A70-year-old woman with no past cardiac history was admitted for near collapse and chest discomfort that occurred when she was informed that her husband of 45 years had died in our hospital of congestive heart failure and refractory ventricular arrhythmias. The ECG revealed minor anterior ST-segment elevations and inferolateral ST-segment depressions, which resolved after intravenous nitroglycerin was administered. Cardiac enzymes were minimally but definitely elevated.The patient underwent cardiac catheterization, which revealed normal coronary arteries. The left ventriculogram showed anterolateral akinesis and apical hypokinesis, as depicted in the Figure. The patient was discharged on aspirin and amlodipine. An echocardiogram repeated 3 months later was normal. She has no memory of the entire hospitalization but continues to grieve for her husband.