Takotsubo syndrome短期复发1例

Very early recurrence of Takotsubo syndrome

1病例资料患者,女,82岁。＂胸闷1h＂入急诊室后突发心室颤动（室颤）,电复律后转入CCU病房。复律后心电图示：V2~V6、Ⅰ、aVL ST抬高0.1~0.7mV,频发室性期前收缩。否认高血压病、糖尿病病史。体检：BP 158/76mmHg（1mmHg=0.133kPa）,P：92次/min;神志清楚,心肺听诊未见异常;30min后抬高的ST段均回落，且抬高最显著的V4、V5导联ST段回落〉50％；心肌肌钙蛋白（cTn）T1．6ng／ml。初诊急性广泛前壁心肌梗死。因胸闷改善，按急性心肌梗死常规药物治疗。次日，无胸闷，

An 82-year-old female presented chest pain lasting for one hour.The electrocardiogram on admission revealed ventricular fibrillation as well as ST segment elevation,suggesting acute myocardium infarction. After admission,the clinical condition improved obviously.However,chest pain recurred again on the fourth day triggered by psychologically stressful event.The echocardiogram showed left ventricular apical ballooning.Therefore,the diagnosis of Takotsubo syndrome was made.