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编号:12167119
6例应激性心肌病临床观察(2)
http://www.100md.com 2011年5月15日 卿艳云
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     本病长期预后相对较好,只要适当采用有效的治疗手段,病人多可以良好地康复。住院期间可以出现包括充血性心衰、心源性休克、室性心动过速、死亡;其他少见但严重的并发症包括室间隔缺损、室颤、左心室破裂、中风、心脏传导异常、阵发性房颤、心尖部血栓等。心室运动减弱的正常化,一般在起病的5~40d 以后。心电图正常化在7~19d,并且总是迟于心室运动正常化之后。

    参考文献

    [1] Maron BJ, Towbin A, Thiene G, et al.Contemporary definitions and classification of the cardiomyopathies: an American Heart Association Scientific Statement from the Council on Clinical Cardiology, Heart Failure and Transplantation Committee; Quality of Care and Outcomes Research and Functional Genomics and Translational Biology Interdisciplinary Working Groups; and Council on Epidemiology and Prevention[J].Circulation. 2006,113(10):1807~1816.

    [2] Bybee KA, Kara T, Prasad A, et al. Systematic review: transient left ventricular ap ical ballooning: a syndrome that mimics ST2seg2ment elevation myocardial infarction [J].Ann InternMed, 2004,141 (11):858~865.

    [3] Ueyama T, Hano T, Kasamatsu K, et al. Estrogen attenuates the emotional stress2 induced cardiac responses in the animal model of Tako2Tsubo (Ampulla) cardiomyopathy [J].Cardiovasc Phar2macol,2003,42 ( Supp l 1):117~119.

    [4]Abe Y, Kondo M, Matsuoka R et al. Assessment of clinical features intransient left ventricular apical ballooning[J].Am Coll Cardiol,2003,41(5):737~742.

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