Abstract：
Takotsubo syndrome (TTS) is a rare, stress-induced acute cardiac disorder. Its precipitating factors include emotionally or physically stressful events and exogenous and endogenous adrenaline. In this report, we describe a case of atypical TTS in a 73-year-old woman who reported no dental fear and required acute cardiac care in an outpatient setting. She underwent routine extraction of an upper left premolar under local anesthesia. She reported heart palpitations after the injection, and the procedure was completed in 15 min. After presenting symptoms of sweating, pale skin, vomiting, low blood pressure, and ST-segment elevation, cardiologists ordered echocardiography, coronary angiography, and ventriculography. Upon receiving a TTS diagnosis, the patient was hospitalized and administered an intra-aortic balloon pump and beta-blocker. Her symptoms resolved, and she was discharged with no sequelae. We found no precipitating factors in the progression of TTS in this case, which suggests that TTS can develop in the absence of precipitating factors. All general dentists and oral surgeons should recognize the possible risk of TTS, even during minimally invasive dental procedures, such as routine extractions in patients without dental phobia.
摘要：
Takotsubo综合征（TTS）是一种罕见的，应激引起的急性心脏病。其诱发因素包括情绪或身体压力事件以及外源性和内源性肾上腺素。在这份报告中,我们描述了一例73岁女性的非典型TTS病例,该患者没有牙科恐惧症状,需要在门诊进行急性心脏护理.她在局部麻醉下进行了左上前磨牙的常规拔除。她报告说注射后有心悸，该程序在15分钟内完成。在出现出汗症状后，苍白的皮肤，呕吐,低血压,和ST段抬高，心脏病专家要求进行超声心动图检查,冠状动脉造影,和心室造影.收到TTS诊断后，患者住院并接受了主动脉内球囊反搏和β受体阻滞剂治疗.她的症状消失了,她出院了，没有后遗症。在这种情况下，我们没有发现TTS进展的诱因，这表明TTS可以在没有沉淀因素的情况下发展。所有普通牙医和口腔外科医生都应认识到TTS的可能风险，即使在微创牙科手术中，例如没有牙科恐惧症的患者的常规拔除。
