食管癌术后Takotsubo综合征的诊断和治疗

IF 2.1 3区医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS

American Journal of Cardiology Pub Date : 2025-04-19 DOI:10.1016/j.amjcard.2025.04.015

Woon Ling Lim MBBS , Madeleine Goh Yee Hong MBBS , Yuka Iijima MBBS , Yan Yan MD , Xin Zhao MD , Juying Qian MD , Junbo Ge MD

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引用次数: 0

摘要

Takotsubo综合征（Takotsubo syndrome， TTS）虽然发病率低，但由于其临床与危重患者的急性冠状动脉综合征和非典型心脏表现相似，经常被忽视或误诊。本文报告一位72岁男性患者在食管切除术后发生TTS。讨论的重点是对重症监护病房（ICU）出现胸痛的危重患者最合适的诊断方法。此外，探讨了快速房颤和肺部并发症背景下TTS的最佳管理策略，强调及时识别和针对性干预的重要性。

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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Navigating Diagnosis and Management for Takotsubo Syndrome Following Esophageal Cancer Surgery

Takotsubo syndrome (TTS), despite its low incidence, often remains underrecognized or misdiagnosed due to its clinical similarity to acute coronary syndromes and atypical cardiac manifestations in critically ill patients. This applied clinical evidence presents a case of a 72-year-old male patient who developed TTS following esophagectomy. The discussion focuses on the most appropriate diagnostic approach for critically ill patients presenting with chest pain in the intensive care unit (ICU). In addition, it explores the optimal management strategy for TTS in the context of rapid atrial fibrillation and pulmonary complications, emphasizing the importance of timely recognition and targeted intervention.

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来源期刊

American Journal of Cardiology 医学-心血管系统

CiteScore

4.00

自引率

3.60%

发文量

698

审稿时长

33 days

期刊介绍： Published 24 times a year, The American Journal of Cardiology® is an independent journal designed for cardiovascular disease specialists and internists with a subspecialty in cardiology throughout the world. AJC is an independent, scientific, peer-reviewed journal of original articles that focus on the practical, clinical approach to the diagnosis and treatment of cardiovascular disease. AJC has one of the fastest acceptance to publication times in Cardiology. Features report on systemic hypertension, methodology, drugs, pacing, arrhythmia, preventive cardiology, congestive heart failure, valvular heart disease, congenital heart disease, and cardiomyopathy. Also included are editorials, readers'' comments, and symposia.