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Takotsubo Cardiomyopathy Syndrome or Neurogenic Stunned Myocardium Induced by Acute Subarachnoid Hemorrhage: A Case Report and Discussion

急性蜘蛛膜下腔出血導致章魚壺心肌症或神經性心肌冬眠狀態:個案報告與討論

摘要


一名59歲女性被收住院因懷疑急性心肌梗塞併心因性休克。她的血清心肌酵素檢驗呈現輕度的升高,心電圖顯示下壁ST段抬高。冠狀動脈狹窄被排除。左心室造影發現壺腹形心肌病變或章魚壺心肌症。頭部電腦斷層檢查顯示蜘蛛膜下腔出血。強調這種罕見的心肌病症候群跟顱內出血有相關性。

並列摘要


A case of a 59-year-old female was admitted to our hospital due to suspected acute myocardial infarction with cardiogenic shock. Her serum levels of cardiac enzymes were slightly elevated and electrocardiography revealed inferior wall ST-segment elevations. Significant coronary artery stenosis was excluded by coronary angiography. A left ventriculogram revealed apical ballooning syndrome or Takotsubo cardiomyopathy. Brain Computed Tomography [CT] scan then disclosed subarachnoid hemorrhage. This rare cardiomyopathy syndrome associated with intracranial hemorrhage was addressed.

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