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Случай стрессиндуцированной кардиомиопатии

Случай стрессиндуцированной кардиомиопатии

Abstract

В последние годы в связи с широким применением ангиографии все чаще диагностируется кардиомиопатия (КМП) такотсубо (takotsubo), для которой характерны изменения ЭКГ, сходные с таковыми у больных с острым коронарным синдромом, повышение маркеров некроза сердечной мышцы и отсутствие значимого поражения КА. При вентрикулографии в типичных случаях выявляется транзиторное баллонирование верхушки левого желудочка. Патофизиологические механизмы, лежащие в основе этого заболевания, остаются до конца не выясненными, хотя многие исследователи относят его к редкой обратимой форме нейрогенной КМП. Авторами описан первый диагностированный ими случай КМП такотсубо, имеющий в целом типичные клинические и лабораторные проявления.

In the last decade with the wide applying of angiography the cardiomyopathy (CMP) Tako-tsubo became diagnosed more often. It's characterized by the ECG abnormalities which are similar as those in acute coronary syndrome, elevating of myocardial injury biomarkers and absence of obvious atherosclerosis of coronary arteries. Left ventriculography usually shows the characteristics apical ballooning. Pathophysiology mechanisms underlying the disease are well not understood, but most investigators attribute it to reversible form of neurogenic CMP. A case of CMP Takotsubo with almost typical clinical and laboratory dates now first diagnosed and described by the authors in their practice.

Keywords

СТРЕСС-ИНДУЦИРОВАННАЯ КАРДИОМИОПАТИЯ, ИНФАРКТ МИОКАРДА, МИОПЕРИКАРДИТ

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
Average
Average
Average
gold