铲雪引起的Takotsubo心肌病。

Q4 Medicine

Connecticut Medicine Pub Date : 2016-11-01

Lane Zhang, Kevin P Marzo

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引用次数: 0

摘要

铲雪梗塞是指在暴风雪过后数日内心肌梗塞(MI)发生率增高的一种现象。在大雪之后，公众对铲雪引起的心肌梗死的认识随着新闻报道年龄的增加而提高。我们报告一例因铲雪引起的胸痛并伴有心肌梗死的心电图改变。急诊血管造影显示冠状动脉正常，冠状动脉顶端呈球囊状，符合心肌病(TCM)。中医是一种一过性心肌病，通常在临床上与心肌梗塞难以区分，通常由情绪/身体压力引起。总之，在一段时间的大雪后出现胸痛的患者中，中医是心肌梗死的替代诊断。

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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Snow-Shoveling-Induced Takotsubo Cardiomyopathy.

Snow shoveler's infarction is the phenomenon of increased incidence of myocardial infarction (MI) in the days following a snow storm. Followingheavy snowfall, public awareness of snow- shoveling-induced MI is heightened by news cover- age. We report a case of show-shoveling-induced chest pain with ECG changes concerning for MI. Emergent angiography revealed normal coronary arteries and apical ballooning consistent with ta- kotsubo cardiomyopathy (TCM). TCM, a transient cardiomyopathy, is often clinically indistinguishable from MI and is often induced by emotional/ physical stress. In conclusion, TCM is an alternative diagnosis to MI in patients presenting with chest pain after a period of heavy snowfall.

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来源期刊

Connecticut Medicine Medicine-Medicine (all)

自引率

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发文量

期刊介绍： The Connecticut State Medical Society (CSMS) is a federation of eight component county medical associations, with a total membership exceeding 7,000 physicians. CSMS itself is a constituent state entity of the American Medical Association. Founded by the physician-patriots of the American Revolution, the Society operates from a heritage of democratic principles embodied in its Charter and Bylaws. The base of all authority in CSMS is, of course, the individual physician member. It is the decisions of members in their own county associations that ultimately determine the nature of the Society"s policies and activities.