Libersa, Marie, Louis Marxer, Ken Zafren, Stephane Oggier, Lorenzo Pucci, and Mathieu Pasquier. Takotsubo cardiomyopathy following complete avalanche burial: a case report. High Alt Med Biol. 24:149-151, 2023.-Takotsubo cardiomyopathy is a transient left ventricular dyskinesia triggered by a stressful physical or emotional event. We report a case of mid-ventricular Takotsubo stress cardiomyopathy in an avalanche victim. The patient was a 41-year-old woman who was completely buried under 1.2 m of snow for 30 minutes. On arrival at the hospital, she was conscious and hypothermic (core temperature 33.7°C). Her ECG showed rapid atrial fibrillation (142 beats/min) that converted to sinus rhythm after rewarming and administration of crystalloids. Echocardiography showed akinesia of the left mid-ventricle with a left ventricular ejection fraction of 41%. At 48-hour follow-up, echocardiography showed an almost complete recovery. During her hospital stay the patient was diagnosed with an acute stress disorder with symptoms of dissociation. She was discharged home after 5 days. At 2-week follow-up echocardiography was normal. Psychological follow-up was normal at 7 months. The physical and psychological stress of the avalanche, as well as hypothermia, were all possible triggers of Takotsubo cardiomyopathy.

中文翻译：

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完全雪崩掩埋后的 Takotsubo 心肌病：病例报告。

玛丽·利伯萨、路易斯·马瑟、肯·扎夫伦、斯蒂芬·奥吉尔、洛伦佐·普奇和马蒂厄·帕斯奎尔。完全雪崩掩埋后的 Takotsubo 心肌病：病例报告。高替代医学生物。2023 年 24:149-151。-Takotsubo 心肌病是一种由身体或情绪压力事件引发的短暂性左心室运动障碍。我们报告了一例雪崩受害者罹患心室中部章鱼壶应激性心肌病的病例。患者为41岁女性，被完全埋在1.2m厚的积雪下30分钟。到达医院后，她意识清醒，体温过低（核心体温 33.7°C）。她的心电图显示快速心房颤动（142 次/分钟），在复温和服用晶体液后转为窦性心律。超声心动图显示左中心室运动不能，左心室射血分数为 41%。48 小时随访时，超声心动图显示患者几乎完全康复。在住院期间，患者被诊断患有急性应激障碍并伴有解离症状。5天后她出院回家。两周随访超声心动图正常。7个月时心理随访正常。雪崩造成的身体和心理压力以及体温过低都是章鱼壶心肌病的可能诱因。