应激性心肌病诊疗现状

Current status of management for stress-induced cardiomyopathy

应激性心肌病,从1991年第一次被提出,逐渐受到人们的关注。应激性心肌病患者心肌室壁运动异常,行心室造影时,显示像日本人用来捕章鱼的瓶子,故也称Takotsubo心肌病。因其临床症状及心电图表现类似急性冠状动脉综合征,故常被误诊。本文从应激性心肌病的发病机制、分类、临床表现等方面进行综述,为广大医务工作者提供该病的全面介绍。

Stress cardiomyopathy,which was put forward for the first time in 1991,has been received attention. Cardiac ventricular wall motion abnormalities often happen in such patients,their cardiacs show like the Japanese used to capture the octopus bottle in ventricular angiography,so it is also known as Takotsubo cardiomyopathy. Because of its similar clinical symptoms and electrocardiogram of acute coronary syndrome,it was often misdiagnosed. In this paper,we will provide a comprehensive introduction of the disease from the pathogenesis,classification,manifestation and other aspects.