Takotsubo cardiomyopathy associated with bronchoscopic operation:A case report

作     者：Bi-Feng Wu Jia-Ran Shi Liang-Rong Zheng 

作者机构：Department of CardiologyThe First Affiliated HospitalCollege of MedicineZhejiang UniversityHangzhou 310000Zhejiang ProvinceChina 

出 版 物：《World Journal of Clinical Cases》 (世界临床病例杂志)

年 卷 期：2020年第8卷第24期

页      面：6517-6523页

核心收录：

学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 100214[医学-肿瘤学] 10[医学] 

主　　题：Takotsubo cardiomyopathy Bronchoscope Left ventricular myocardial work Case report Non-small cell lung cancer 

摘      要：BACKGROUND Takotsubo cardiomyopathy(TTC),a syndrome of acute left ventricular(LV)dysfunction,is characterized by transitory hypokinesis of LV apices with compensatory hyperkinesis of the LV basal *** symptoms of TTC mimic acute myocardial infarction,without significant coronary stenoses on coronary *** plays a key role in the diagnosis and prognosis of *** indicators from echocardiograms may be helpful in disease *** SUMMARY A 67-year-old man with a 10-year history of non-small cell lung cancer was admitted to our hospital for emerging facial edema and dry *** lavage,brushing,and biopsy were performed to evaluate tumor *** this procedure,he complained of left chest pain,nausea,and vomiting,with elevated troponin *** showed sinus bradycardia with ST-segment elevation in I,AVL,and V4 to V6 *** angiography revealed mild stenosis in the right coronary *** showed hypokinesis of LV apices with compensatory hyperkinesis of the LV basal *** the 7-d follow-up,echocardiographic pressure-strain analysis showed a normal LV ejection fraction,but partial recovery of LV myocardial work,which fully recovered 5 mo *** This is a case of TTC caused by bronchoscopic *** strongly recommend noninvasive myocardial work measured by echocardiographic pressure-strain analysis as a necessary supplementary test for the long-term follow-up of TTC.