PDF(Pubmed)
Abstract：
Stress-induced cardiomyopathy, commonly known as Takotsubo cardiomyopathy (TCM), is a clinical syndrome characterized by acute and transient ventricular systolic dysfunction that often presents with chest pain and may resemble an acute coronary syndrome. This case report discusses a complex clinical scenario involving an adult female with severe depression who attempted suicide through drug overdose, subsequently developing serotonin syndrome. Her clinical presentation was further complicated by the emergence of a unique lambda-shaped triangular QRS-ST-T waveform fusion ST-elevation electrocardiographic (ECG) pattern closely mimicking an anterolateral occlusive myocardial infarction. The study delves into the clinical implications of this unique ECG pattern in TCM, providing valuable insights into diagnosing and treating such complex cases. This case underscores the importance of recognizing diverse manifestations of TCM and its potential for severe cardiovascular complications.
摘要：
应激性心肌病,俗称Takotsubo心肌病（TCM），是一种以急性和一过性心室收缩功能障碍为特征的临床综合征，通常表现为胸痛，可能类似于急性冠状动脉综合征。本病例报告讨论了一个复杂的临床情景，涉及一名患有严重抑郁症的成年女性，她试图通过药物过量自杀，随后发展为5-羟色胺综合征。独特的λ形三角形QRS-ST-T波形融合ST抬高心电图（ECG）模式的出现使她的临床表现更加复杂，该模式紧密模仿了前外侧闭塞性心肌梗死。这项研究探讨了这种独特的心电图模式在中医中的临床意义，为诊断和治疗此类复杂病例提供有价值的见解。此病例强调了认识中医的多种表现及其严重心血管并发症的可能性的重要性。
