Takotsubo综合征伴多例高血压危象:意外诊断。

IF 1.3 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS
Małgorzata Niemiec, Nicola Dyrek, Klaudia Żądecka, Bartosz Gruchlik, Adrianna Berger-Kucza, Katarzyna Mizia-Stec
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引用次数: 0

摘要

我们报告一个不寻常的临床病例,一名39岁的女性因心狭窄疼痛伴高血压危象而入院心脏病科。患者表现为严重的胸痛和高血压,并有2型糖尿病、高脂血症、吸烟和高血压病史。初步检查显示肌钙蛋白T、葡萄糖、CRP和d -二聚体水平升高,心电图和经胸超声心动图显示异常提示急性心肌梗死,但血管造影未显示任何明显的冠状动脉阻塞。进一步的检查和影像学诊断为takotsubo综合征(TTS)和嗜铬细胞瘤的怀疑,这在后来的活检中得到证实。由于肿瘤的罕见性,TTS和嗜铬细胞瘤共存的情况并不常见,因此本病例非常罕见。做出快速和准确的诊断非常重要,因为治疗不当的病例可能导致死亡。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Takotsubo syndrome with several hypertensive crises: an unexpected diagnosis.

Takotsubo syndrome with several hypertensive crises: an unexpected diagnosis.

We present an unusual clinical case of a 39-year-old woman admitted to the Department of Cardiology due to stenocardial pain accompanied by hypertensive crisis. The patient presented with severe chest pain and high blood pressure, along with a history of type 2 diabetes, hyperlipidemia, smoking, and hypertension. Initial tests showed elevated troponin T, glucose, CRP, and D-dimer levels, and electrocardiography and transthoracic echocardiography showed abnormalities suggesting acute myocardial infarction, but angiography did not reveal any significant coronary artery blockages. Further tests and imaging led to a diagnosis of takotsubo syndrome (TTS) and suspicion of pheochromocytoma, which was confirmed later biopsy. The presented case is very rare because the coexistence of TTS and pheochromocytoma is not common due to the rarity of the tumor. It is very important to make a quick and accurate diagnosis, because improperly treated cases can lead to death.

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来源期刊
Cardiovascular Endocrinology & Metabolism
Cardiovascular Endocrinology & Metabolism CARDIAC & CARDIOVASCULAR SYSTEMS-
CiteScore
5.60
自引率
0.00%
发文量
24
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