典型应激性心肌病1例

Typical Stress Cardiomyopathy: A Case Report

摘要: 应激性心肌病为一种可逆性的左室功能受损综合征，常由情绪或躯体应激诱发，多发生于绝经期女性。由于其与急性心肌梗死鉴别困难，临床易误诊或延迟诊断、干预。本例患者因“胸闷、憋喘7天”入院，完善相关化验及心脏彩超考虑诊断应激性心肌病，经冠脉 + 左室造影后确诊，经改善心功能治疗1月后，复查心脏彩超示左心功能恢复。应激性心肌病虽然罕见，且依靠排除诊断，本文通过回顾分析1例典型应激性心肌病的诊疗过程，结合文献探讨其诊断与治疗。

Abstract: Stress-induced cardiomyopathy is a reversible syndrome characterised by left ventricular dysfunction. It is often triggered by emotional or physical stress, and commonly occurs in postmenopausal women. Due to its similarity to acute myocardial infarction, it is prone to misdiagnosis or delayed diagnosis and intervention in clinical practice. A patient presenting with “chest tightness and shortness of breath for seven days” was admitted to hospital. Following relevant tests and cardiac echocardiography, the diagnosis of stress-induced cardiomyopathy was made. This diagnosis was confirmed following coronary and left ventricular angiography. Following one month of treatment aimed at improving cardiac function, a re-examination using cardiac echocardiography revealed that left ventricular function had recovered. Although stress-induced cardiomyopathy is rare and is diagnosed by exclusion, this article reviews and analyses the diagnosis and treatment of a typical case, combining literature to discuss its diagnosis and treatment.