Takotsubo cardiomyopathy in a squash player.
Takotsubo cardiomyopathy in a squash player.
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DOI：
10.4061/2009/351621
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发表时间：
2009
影响因子：
2.1
通讯作者：
Galinier M
中科院分区：
文献类型：
--
作者：
Berry M;Roncalli J;Lairez O;Elbaz M;Carrié D;Galinier M
竹子心肌病通常被描述为急性情绪应激后的症状。我们在此报告一位48岁女性在激烈的壁球比赛后因急性冠脉综合症入院的病例。诊断为急性物理应激所致的Takotsubo心肌病，怀疑冠状动脉正常，短暂左心功能不全，并伴有典型的心尖气球扩张。心脏磁共振成像证实了局部室壁运动异常，有助于排除心肌梗死的诊断。在挤压过程中，身体受到突然而强烈的需求的影响，导致对心肌的长期而严重的工作负荷。
Takotsubo cardiomyopathy is usually described following acute emotional stress. We report here the case of a 48-year-old woman admitted for acute coronary syndrome after an intensive squash match. Diagnosis of Takotsubo cardiomyopathy due to acute physical stress was suspected in presence of normal coronary arteries and transitory left ventricular dysfunction with typical apical ballooning. Cardiac magnetic resonance imaging confirmed regional wall-motion abnormalities and was helpful in excluding myocardial infarction diagnosis. During squash the body is subject to sudden and vigorous demands inducing a prolonged and severe workload on the myocardium.