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心尖球囊综合征ST-T改变的可能机制

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摘要 心尖球囊综合征(Takotsubo syndrome,TTS)与急性冠脉综合征(acute coronary syndrome,ACS)患者的心电图都可能出现ST段抬高或T波倒置(Wellens’pattern)及QTc延长。两者的区别是,TTS从ST段抬高进展到T波倒置的时间短于ST段抬高型心肌梗死(STEMI)。从ST段抬高迅速演变为T波倒置,或者一开始就表现为T波倒置,还可见于流产的STEMI、非ST段抬高型心肌梗死(non-STE-
作者 王立群
机构地区 北京大学人民医院心电生理室
出处 《心电图杂志（电子版）》 2013年第3期166-167,共2页 Journal of Electrocardiogram（Electronic Edition）
关键词 心尖球囊综合征 ST-T变化 心电图
分类号 R541.4 [医药卫生—心血管疾病]
  • 相关文献

参考文献8

  • 1王立群.心肌水肿致孤立性T波改变[J].心电图杂志（电子版）,2013,2(1):38-39. 被引量：3
  • 2Helen Paur,Peter T. Wright,Markus B. Sikkel,Matthew H. Tranter,Catherine Mansfield,Peter O?Gara,Daniel J. Stuckey,Viacheslav O. Nikolaev,Ivan Diakonov,Laura Pannell,Haibin Gong,Hong Sun,Nicholas S. Peters,Mario Petrou,Zhaolun Zheng,Julia Gorelik,Alexander R. Lyon,Sian E. Harding.High Levels of Circulating Epinephrine Trigger Apical Cardiodepression in a β2-Adrenergic Receptor/Gi–Dependent Manner: A New Model of Takotsubo Cardiomyopathy[J].Circulation.2012(6)
  • 3Zhan Zhong-qun,Wang Chong-quan,Samuel Sclarovsky,Kjell C. Nikus,He Chao-rong,Mao Shan.ST-segment deviation pattern of takotsubo cardiomyopathy similar to acute pericarditis: Diffuse ST-segment elevation[J].Journal of Electrocardiology.2012
  • 4John E. Madias.Is the ST-Segment Elevation in Takotsubo Syndrome Partially (or Even Totally) Due to Dyskinesis?[J].The American Journal of Cardiology.2012
  • 5Alexander R Lyon,Paul SC Rees,Sanjay Prasad,Philip A Poole-Wilson,Sian E Harding.Stress (Takotsubo) cardiomyopathy—a novel pathophysiological hypothesis to explain catecholamine-induced acute myocardial stunning[].Nature Clinical Practice Cardiovascular Medicine.2008
  • 6Federico Migliore,Alessandro Zorzi,Martina Perazzolo Marra.Myocardial edema underlies dynamic T-wave inversion (Wellens’ ECG pattern) in patients with reversible left ventricular dysfunction[].Heart Rhythm.2011
  • 7Stephen Arvan,Murray A. Varat.Persistent ST-segment elevation and left ventricular wall abnormalities: A 2-dimensional echocardiographic study[].The American Journal of Cardiology.1984
  • 8Pirzada F A,Weiner J M,Hood W B.Experimental myocardial infarction. 14. Accelerated myocardial stiffening related to coronary reperfusion following ischemia[].Chest.1978

二级参考文献6

  • 1de Zwaan C,B?r FW,Wellens HJ. Characteristic electrocardio-graphic pattern indicating a critical stenosis high in left anterior descending coronary artery in patients admitted because of im-pending myocardial infarction[J].American Heart Journal,1982.730-736.
  • 2Sgarbossa EB,Meyer PM,Pinski SL. Negative T waves shortly after ST-elevation acute myocardial infarction are a power-ful marker for improved survival rate[J].American Heart Journal,2000.385-394.
  • 3Verhaert D,Thavendiranathan P,Giri S. Direct T2 quantifi-cation of myocardial edema in acute ischemic injury[J].JACC Card-iovasc Imaging,2011.269-278.
  • 4Migliore F,Zorzi A,Marra MP. Myocardial edema underlies dynamic T-wave inversion(Wellens′ECG pattern) in patients with reversible left ventricular dysfunction[J].Heart Rhythm,2011.1629-1634.
  • 5Joshi SB,Chao T,Herzka DA. Cardiovascular magnetic reso-nance T2 signal abnormalities in left ventricular ballooning syn-drome[J].International Journal of Cardiovascular Imaging,2010.227-232.
  • 6Vago H,Toth A,Apor A,Maurovich-Horvat P Toth M Merkely B. Cardiac contusion in a professional soccer player:visualization of acute and late pathological changes in the myocardium with magnetic resonance imaging[J].Circulation,2010.2456-2461.

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心电图杂志（电子版）
2013年 第3期

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