以心脏骤停和可变心室受累为表现的复发性Takotsubo心肌病死亡病例-受体激动剂和受体阻滞剂的作用是什么?

Jonathan Sharrett, Satish Surabhi, Scott Philips, Harold Morse
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摘要

总之,我们认为患者的死亡是由于严重的情绪困扰、呼吸窘迫和对即将到来的死亡的恐惧,以及过度使用B2激动剂可能为Takotsubo心肌病创造了一个适宜的环境。我们还提出了一种机制,即在受体阻滞剂治疗期间,不同壁运动变异的复发可能发生。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Fatal Case of Recurrent Takotsubo Cardiomyopathy Presenting with Cardiac Arrest and Variable Ventricular Involvement What Role Beta Agonist and Beta Blockers?

In conclusion, we believe that the demise of the patient is due to the combination of severe emotional distress, respiratory distress with fear of impending doom, and the overuse of B2 agonists likely created an opportune environment for Takotsubo cardiomyopathy. We also propose a mechanism whereby recurrences with different wall motion variants may occur during beta blocker therapy.

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