PDF(Pubmed)
Abstract：
Stress cardiomyopathy (SCM) is a clinical phenomenon presenting symptoms suggestive of acute coronary syndrome and defined by acute, but transient, electrocardiogram (ECG) changes and left ventricular wall motion abnormalities. However, no obstructive coronary lesion is identified on catheterization, and pathognomic echocardiogram findings are typically encountered. Multiple causes have been posited in the literature (e.g., severe stress, anxiety, pain, comorbid illness, trauma). We present the case of a 46-year-old female who presented to the emergency department (ED) for delayed left-sided hemothorax (six weeks following a high-speed motor vehicle collision) and developed an acute SCM following large-bore chest tube placement. To our knowledge, no prior cases have been reported immediately following thoracostomy tube placement and hemothorax drainage in the ED setting. We explore possible mechanistic explanations related to our case, which adds to the existing literature on the subject.
摘要：
应激性心肌病（SCM）是一种临床现象，表现出提示急性冠状动脉综合征的症状，但是短暂的，心电图（ECG）改变和左心室壁运动异常。然而,在导管插入术中没有发现阻塞性冠状动脉病变,和病理超声心动图检查结果通常会遇到。文献中提出了多种原因(例如，严重的压力,焦虑,疼痛,合并症，创伤)。我们介绍了一名46岁的女性，该女性因延迟左侧血胸（在高速机动车碰撞后六周）而向急诊科（ED）就诊，并在大口径胸管放置后开发了急性SCM。据我们所知,在ED设置中,在放置胸廓造口管并进行血胸引流后,没有任何先前病例的报道.我们探索与我们的案例相关的可能的机械解释，这增加了关于这一主题的现有文献。
