Takotsubo cardiomyopathy developed during rewarming of accidental hypothermia with extracorporeal membrane oxygenation.
Takotsubo cardiomyopathy developed during rewarming of accidental hypothermia with extracorporeal membrane oxygenation.
复制标题
Takotsubo 心肌病是在体外膜氧合意外低温复温过程中发生的。
DOI：
10.1002/ams2.399
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发表时间：
2019
期刊：
影响因子：
--
通讯作者：
Narimatsu E.
中科院分区：
文献类型：
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作者：
Kakizaki R;Bunya N;Uemura S;Odagiri A;Kasai T;Narimatsu E.
背景我们在此报告一例在体外膜肺氧合治疗严重意外体温过低患者复温过程中发生的Takotsubo心肌病。病例一位74岁的女性在室外被发现无反应，在转移到我院期间发生心肺骤停。到达时，她仍处于心肺骤停状态。启动静脉-动脉体外膜氧合进行复苏和复温。在进入重症监护室后，她的血压突然下降，第2天的冠状动脉造影显示冠状动脉完好。左心室造影显示收缩末期典型的takotsubo样功能障碍，诊断为takotsubo心肌病。左室壁运动逐渐改善，超声心动图显示，在第6天的左室壁运动异常几乎消失。结论Takotsubo心肌病可能会出现在复温严重意外低温患者。
BackgroundWe here present the first case report of takotsubo cardiomyopathy that developed during rewarming of a patient with severe accidental hypothermia with extracorporeal membrane oxygenation.CaseA 74‐year‐old woman was found unresponsive outdoors and suffered cardiopulmonary arrest during transfer to our hospital. On arrival, she was still in cardiopulmonary arrest. Veno‐arterial extracorporeal membrane oxygenation was initiated for resuscitation and rewarming. After admission to the intensive care unit, her blood pressure suddenly dropped, and coronary angiography on day 2 indicated intact coronary arteries. Left ventriculography showed typical takotsubo‐like dysfunction in the end‐systolic phase, which led to the diagnosis of takotsubo cardiomyopathy. Left ventricular wall motion gradually improved, and echocardiography on day 6 revealed that abnormalities in the left ventricular wall motion had almost disappeared.ConclusionTakotsubo cardiomyopathy might arise during rewarming of patients with severe accidental hypothermia.