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Stress cardiomyopathy: Medical studies and extensive review
Saudi Journal of Biological Sciences ( IF 4.4 ) Pub Date : 2021-02-14 , DOI: 10.1016/j.sjbs.2021.02.003
Xiang Wang , Fangming Wang , Ningwei Sun , Lijun Zhang

Stress cardiomyopathy (SC) was first reported in the year 1983. It is narrated as critical but quite commutative left ventricular (LV) malfunction mostly caused by poignant or psychological disorder. Numerous variations of SC have been described as well as reverse stress cardiomyopathy (rSC) which is an adaptation identified by the decreased muscle movement related with hyperkinesis that reconciles impetuously. The signature of rSC is a medical demonstration alike to syndrome by an acute coronary, with no obvious difficult coronary artery disease. The occurrence of SC is approximated to be 4% of all victims conferring with gleaned syndrome by acute coronary. The portion of victims conferring with the rSC transfiguration out of all SC patients has been inconstant, varying from 1 to 24%. Reverse stress cardiomyopathy cases are found to be common with young people, less decrease in left ventricular ejection fraction (LVEF) and more neurological disease compared to the SC. While the correct phenomenon of rSC is undetermined, postulated methods comprises of coronary microvasculature impairment, coronary artery spasm, and estrogen deficiency. Patients with rSC typically suffer with chest pain after an emotional or Psychological stressful event. The rSC can also be happened by general anesthesia, or neurological conditions. The diagnosis of rSC demands the presence of new electrocardiogram (EKG) abnormalities or elevated cardiac troponin, and absence of obstructive coronary disease, pheochromocytoma, or myocarditis. The consideration of rSC is quite analogous to that of SC, which is predominantly supportive with the treatment of complications. The recrudescence rate of rSC is around 12%. The most frequent complications of rSC include pericardial effusions, and development of LV thrombi.



中文翻译:

应激性心肌病:医学研究和广泛综述

应激性心肌病(SC)于1983年首次报道。据报道,该病是严重但易折衷的左心室(LV)故障,主要由刺激性或心理障碍引起。已经描述了SC的许多变化以及逆向应激性心肌病(rSC),其是通过与与运动亢进相关的肌肉运动的减少而确定的适应性的,所述运动亢奋地协调。rSC的签名是医学证据,类似于急性冠状动脉综合征,没有明显的困难冠状动脉疾病。在所有急性冠状动脉硬化综合征患者中,SC的发生率约为4%。在所有SC患者中,赋予rSC变形的受害人比例一直没有变化,从1%到24%不等。与SC相比,发现逆向型心肌病病例常见于年轻人,左心室射血分数(LVEF)降低较少,神经系统疾病较多。虽然尚不确定rSC的正确现象,但假定的方法包括冠状动脉微脉管系统损害,冠状动脉痉挛和雌激素缺乏。rSC患者通常在情绪或心理压力事件后会遭受胸痛。rSC也可以通过全身麻醉或神经系统疾病发生。rSC的诊断要求存在新的心电图(EKG)异常或心肌肌钙蛋白升高,并且不存在阻塞性冠状动脉疾病,嗜铬细胞瘤或心肌炎。对rSC的考虑与对SC的考虑非常相似,主要支持并发症的治疗。rSC的复发率约为12%。rSC最常见的并发症包括心包积液和左心室血栓形成。

更新日期:2021-04-02
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