[An atypical ECG for a typical Takotsubo syndrome].

IF 0.7 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS
Alessandro Lupi, Manuel Freschini, Alessandro Aimi, Claudia Castellani, Rocco Sclafani
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引用次数: 0

Abstract

Takotsubo syndrome is an acquired pathological condition that occurs mainly in postmenopausal women in response to stressful events of a variety of psychophysical nature and, especially in the acute phase, may be indistinguishable from acute coronary syndrome. The clinical presentation of Takotsubo syndrome is characterized by chest pain, an increase in biomarkers of myocardial necrosis, wall motion abnormalities and ECG changes that may completely overlap with cardiac ischemia. It is therefore of paramount importance to make a correct differential diagnosis between these two conditions, which have different therapeutic and prognostic implications. As evidence of this, we report the case of a Takotsubo syndrome with an atypical ECG presentation, known as the de Winter pattern, suggestive of acute coronary syndrome. This case report further highlights the need for urgent coronary angiography combined with ventriculography to allow for a proper differential diagnosis.

【典型Takotsubo综合征的非典型心电图】。
Takotsubo综合征是一种获得性病理状况,主要发生在绝经后妇女对各种心理物理性质的应激事件的反应,特别是在急性期,可能与急性冠状动脉综合征难以区分。Takotsubo综合征的临床表现以胸痛、心肌坏死生物标志物增加、壁运动异常和心电图改变为特征,这些变化可能与心脏缺血完全重叠。因此,对这两种具有不同治疗和预后意义的疾病做出正确的鉴别诊断是至关重要的。作为证据,我们报告Takotsubo综合征的非典型心电图表现,称为de Winter模式,提示急性冠状动脉综合征。本病例报告进一步强调了紧急冠状动脉造影联合心室造影的必要性,以允许适当的鉴别诊断。
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
Giornale italiano di cardiologia
Giornale italiano di cardiologia CARDIAC & CARDIOVASCULAR SYSTEMS-
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