超声心动图评价Takotsubo综合征患者心功能的研究进展

Research progress of echocardiography to evaluate cardiac functionin Takotsubo syndrome

Takotsubo综合征(Takotsubo syndrome,TTS)是一种复杂的心脏病,目前仍未被临床广泛认识。Takotsubo综合征具有多样的、可逆的临床表现,与严重的住院不良事件和随访期间的并发症高发率相关。超声心动图在疾病的诊断和治疗中起着关键作用,特别是在急性护理环境中,超声心动图可用于评估TTS患者的左心室收缩和舒张功能,识别典型的心尖-中心室球囊化及室壁运动异常,有助于早期发现并发症(如左心室流出道梗阻、二尖瓣反流、右心室受累、左心室血栓形成等),同时监测左心室收缩功能恢复情况。本文就应用超声心动图评估Takotsubo综合征的心功能研究进展进行综述。

Takotsubo syndrome(TTS)is a complex heart disease,which is still not widely recognized in clinical practice.Takotsubo syndrome has diverseand reversible clinical manifestations.It is associated with severe in-hospital adverse events and a high incidence of complications during follow-up.Echocardiography plays a key role in the diagnosis and treatment of disease,especially in acute care settings.Echocardiography can be used to assess left ventricular systolic and diastolic function in patients with TTS,identify typical apical-central ventricle balloonization and ventricular wall movement abnormalities.It is helpful for early detection of complications(such as left ventricular outflow tract obstruction,mitral regurgitation,right ventricular involvement,left ventricular thrombosis,etc.),and it can alsomonitor the recovery of left ventricular systolic function.This article reviews the application of echocardiography to evaluate cardiac function in Takotsubo syndrome.