Myasthenic Crisis and Concomitant Takotsubo Syndrome Complicated by Shock.

IF 1 4区医学 Q3 MEDICINE, GENERAL & INTERNAL

Internal Medicine Pub Date : 2024-12-15 Epub Date: 2024-05-09 DOI:10.2169/internalmedicine.3306-23

Moeko Omiya, Yusuke Morii, Masako Mukai, Yuya Mitsuhashi, Ken Kato, Toshiaki Isogai

引用次数: 0

Abstract

A man in his 80s with myasthenia gravis (MG) developed dysmobility and chest discomfort. An electrocardiogram revealed ST-segment elevation, and coronary angiography revealed Takotsubo syndrome (TTS). He experienced myasthenic crisis that required ventilation and shock that was refractory to vasopressors and required intra-aortic balloon pump (IABP) insertion. He was managed conservatively without MG-specific treatment until his hemodynamics improved. On hospital day 6, he was weaned from IABP. MG is a high-risk condition for TTS, and TTS with myasthenic crisis (MC) is associated with high mortality. We successfully managed this case of TTS with MC with intubation and IABP, without MG-specific treatment.

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肌无力危象和休克并发的塔克次氏综合征：病例报告。

一名患有肌萎缩症（MG）的 80 多岁男子出现了活动障碍和胸部不适。心电图显示 ST 段抬高，冠状动脉造影显示塔克次氏综合征（TTS）。他出现了肌无力危象，需要通气和休克，但血管加压药无效，需要插入主动脉内气囊泵（IABP）。在血流动力学改善之前，他一直接受保守治疗，没有接受针对 MG 的治疗。住院第 6 天，他停用了 IABP。MG 是 TTS 的高危病症，而 TTS 合并 MC 的死亡率很高。我们通过插管和 IABP 成功地处理了这例 TTS 合并 MC，而没有采用 MG 特异性治疗。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Internal Medicine 医学-医学：内科

CiteScore

1.90

自引率

8.30%

发文量

审稿时长

2.2 months

期刊介绍： Internal Medicine is an open-access online only journal published monthly by the Japanese Society of Internal Medicine. Articles must be prepared in accordance with "The Uniform Requirements for Manuscripts Submitted to Biomedical Journals (see Annals of Internal Medicine 108: 258-265, 1988), must be contributed solely to the Internal Medicine, and become the property of the Japanese Society of Internal Medicine. Statements contained therein are the responsibility of the author(s). The Society reserves copyright and renewal on all published material and such material may not be reproduced in any form without the written permission of the Society.