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內科學誌 Scopus

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中文摘要

章魚壺心肌症是一種經常由生理或情緒壓力引起之短暫性心肌病變,因臨床症狀及心電圖表現與ST 節段上升型急性心肌梗塞相似,所以在鑑別診斷上更顯重要。心導管和左心室攝影是診斷的黃金標準,一方面必須先排除急性心肌梗塞,另一方面,可以評估左心室室壁收縮模式。本文將對章魚壺心肌症做全面性深入探究,包括流行病學、診斷標準、分類及病理機轉、臨床表現與診斷工具、以及治療與預後。

英文摘要

Takotsubo cardiomyopathy is a transient cardiomyopathy that is often triggered by physical or emotional stress. Distinguishing between Takotsubo cardiomyopathy and ST-segment elevation myocardial infarction is crucially important, because of the similarity of the clinical and electrocardiographic manifestations. Cardiac catheterization and left ventricular angiography that can exclude acute myocardial infarction and evaluate left ventricular motion are the gold standards for the diagnosis of Takotsubo cardiomyopathy. This review article will elaborate on the epidemiology, diagnostic criteria, classification, pathophysiology, clinical features, diagnostic tools, management, and prognosis of Takotsubo cardiomyopathy.

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