【摘要】 应激性心肌病是一种以可逆性室壁运动异常为特点的原发性心肌病,临床表现与急性心肌梗死相似,常见于绝经期后的女性,发病之前多存在精神或躯体应激因素,主要发病机制可能为儿茶酚胺介导的心肌损伤,冠状动脉造影一般正常,典型的左室造影表现为"章鱼篓"样。治疗主要针对并发症,复发少见且预后良好。更多还原

【Abstract】 Stress cardiomyopathy is a primary cardiomyopathy characterized by reversible ventricular wall motion abnormality. Its clinical manifestation is similar to acute myocardial infarction. Stress cardiomyopathy is seen in postmenopausal women frequently, and often caused by mental or physical stress factors. The pathogenesis remains uncertain, but the consensus is that increased catecholamine effect on susceptible myocardium represents a component of the process. Most of the patients had normal coronary arteries. Left ventricular angiography show "tako-tsubo" like. No clear consensus on the treatment of the disease itself except for treating complication. Recurrence is infrequent and the long term prognosis is good.更多还原