The Korean Journal of Medicine

  • 제86권3호
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  • Pages.325-328
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  • 2014
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  • 1738-9364(pISSN)
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  • 2289-0769(eISSN)
대한내과학회 (The Korean Association of Internal Medicine)
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감염성 심내막염이 발생한 젊은 여성에서 동반된 스트레스성 심근병증

A Case of Takotsubo Cardiomyopathy in a Young Female with Infective Endocarditis

  • 허정원 (강원대학교 의학전문대학원 내과학교실) ;
  • 정철민 (강원대학교 의학전문대학원 내과학교실) ;
  • 박현선 (강원대학교 의학전문대학원 내과학교실) ;
  • 최장원 (강원대학교 의학전문대학원 내과학교실) ;
  • 오원섭 (강원대학교 의학전문대학원 내과학교실) ;
  • 조병렬 (강원대학교 의학전문대학원 내과학교실) ;
  • 류동열 (강원대학교 의학전문대학원 내과학교실)
  • Heo, Jeong Won (Department of Internal Medicine, Kangwon National University School of Medicine) ;
  • Jung, Chul Min (Department of Internal Medicine, Kangwon National University School of Medicine) ;
  • Park, Hyun Sun (Department of Internal Medicine, Kangwon National University School of Medicine) ;
  • Choi, Jang Won (Department of Internal Medicine, Kangwon National University School of Medicine) ;
  • Oh, Won Sub (Department of Internal Medicine, Kangwon National University School of Medicine) ;
  • Cho, Byung Ryul (Department of Internal Medicine, Kangwon National University School of Medicine) ;
  • Ryu, Dong Ryeol (Department of Internal Medicine, Kangwon National University School of Medicine)
  • 투고 : 2013.03.12
  • 심사 : 2013.06.13
  • 발행 : 2014.03.01
⟨ 이전 논문 다음 논문 ⟩

초록

결론적으로 스트레스성 심근병증과 심내막염 모두 매우 드문 질환이다. 우리는 감염성 심내막염 환자에서 합병증으로 감염성 뇌수막염과 뇌경색 그리고 스트레스성 심근병증이 동반된 젊은 여성에서 심초음파를 이용하여 비침습적으로 스트레스성 심근병증을 진단하여 성공적으로 치료한 드문 경우를 경험하여 보고하는 바이다.

Takotsubo cardiomyopathy is a clinical syndrome characterized by chest pain, transient left ventricular dysfunction, and specific electrocardiographic changes induced by physical or emotional stress. We describe a rare case of this syndrome associated with acute mitral valve bacterial endocarditis in a young female.

키워드

참고문헌

  1. Sato H, Tateishi H, Uchida T, et al. Takotsubo type cardiomyopathy due to multivessel spasm. In: Kodama K, Haze K, Hon M, eds. Clinical Aspect of Myocardial Injury: from Ischaemia to Heart Failure. Tokyo: Kagakuhyouronsya, 1990:56-64.
  2. Ito K, Sugihara H, Katoh S, Azuma A, Nakagawa M. Assessment of Takotsubo (ampulla) cardiomyopathy using 99mTc-tetrofosmin myocardial SPECT: comparison with acute coronary syndrome. Ann Nucl Med 2003;17:115-122. https://doi.org/10.1007/BF02988449
  3. Matsuoka K, Okubo S, Fujii E, et al. Evaluation of the arrhythmogenecity of stress-induced "Takotsubo cardiomyopathy" from the time course of the 12-lead surface electrocardiogram. Am J Cardiol 2003;92:230-233. https://doi.org/10.1016/S0002-9149(03)00547-2
  4. Correa de Sa DD, Tleyjeh IM, Anavekar NS, et al. Epidemiological trends of infective endocarditis: a population-based study in Olmsted County, Minnesota. Mayo Clin Proc 2010;85:422-426. https://doi.org/10.4065/mcp.2009.0585
  5. Cattaneo P, Marchetti P, Morandi F, Salerno-Uriarte JA. Left ventricular apical ballooning in mitral endocarditis. Int J Cardiol 2007;119:261-263. https://doi.org/10.1016/j.ijcard.2006.07.145
  6. Prasad A, Lerman A, Rihal CS. Apical ballooning syndrome (Tako-Tsubo or stress cardiomyopathy): a mimic of acute myocardial infarction. Am Heart J 2008;155:408-417. https://doi.org/10.1016/j.ahj.2007.11.008
  7. Lee JW, Kim JY. Stress-induced cardiomyopathy: the role of echocardiography. J Cardiovasc Ultrasound 2011;19:7-12. https://doi.org/10.4250/jcu.2011.19.1.7
  8. Park JH, Kang SJ, Song JK, et al. Left ventricular apical ballooning due to severe physical stress in patients admitted to the medical ICU. Chest 2005;128:296-302. https://doi.org/10.1378/chest.128.1.296

피인용 문헌

  1. Case report: takotsubo syndrome in infectious endocarditis vol.109, pp.9, 2020, https://doi.org/10.1007/s00392-020-01629-6