Takotsubo 心肌病十问十答

Takotsubo 心肌病患者死亡率为 4.1%，心源性休克发生率为 9.9%，肺水肿发生率为 5.6%，室性心律失常发生率为 3.0%，心腔内血栓发生率为 1.3%，心脏破裂的发生率为 0.2%，其严重并发症的发生率并没有最初预计的那么低。

看了上面的问答，相信大家对李 XX 的诊断、治疗已了然于胸。下次出门诊的时候，碰到胸痛的患者，尤其 50-60 岁的年纪，伴有悲痛、丧偶、生气等负性情绪刺激，以及生日、彩票中大奖、喜得贵孙等正性情绪刺激，不要忘记 Takotsubo 心肌病的诊断哦！

参考文献

1.Templin C, Ghadri JR, Diekmann J. Clinical features and outcomes of Takotsubo (stress) cardiomyopathy. N Engl J Med. 2015;373(10):929–938.

2.Hurst RT, Prasad A, Askew JW, Sengupta PP, Tajik AJ. Takotsubo cardiomyopathy: A unique cardiomyopathy with variable ventricular morphology. JACC Cardiovasc Imaging. 2010;3(6):641–649.

3.Ryohei Ono, L.Menezes Falcão. Takotsubo cardiomyopathy systematic review: Pathophysiologic process, clinical presentation and diagnostic approach to Takotsubo cardiomyopathy. International Journal of Cardiology 209 (2016) 196-205.

4.Bossone E, Savarese G, Ferrara F, et al. Takotsubo cardiomyopathy: Overview. Heart Fail Clin 2013; 9: 249-266.

5.Pilgrim TM and Wyss TR. Takotsubo cardiomyopathy or transient left ventricular apical ballooning syndrome: A systematic review. Int J Cardiol 2008; 124: 283-292.