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文献詳細

雑誌文献

循環器ジャーナル68巻1号

2020年01月発行

文献概要

特集 U40世代が描く心不全診療の現状と未来—基礎研究を識り,臨床を素心深考する Ⅰ.心筋症

—臨床編—たこつぼ症候群の予後規定因子は?原因はどこまで解明されていますか?

著者: 山口徹雄1

所属機関: 1国家公務員共済組合連合会虎の門病院循環器センター内科

ページ範囲:P.68 - P.72

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・たこつぼ症候群は前壁急性心筋梗塞類似の症状・検査所見・予後を示す女性に多い疾患である.
・明確な原因は不明だが,交感神経刺激が病態の中心と推測されている.
・急性期は合併する心不全や血行動態の管理,慢性期は心機能の回復の確認と再発予防が重要である.

参考文献

1) Templin C, Ghadri JR, Diekmann J, et al:Clinical Features and Outcomes of Takotsubo(Stress)Cardiomyopathy. N Engl J Med 373:929-938, 2015
2) Murakami T, Yoshikawa T, Maekawa Y, et al:Gender Differences in Patients with Takotsubo Cardiomyopathy:Multi-Center Registry from Tokyo CCU Network. PLoS One 10:e0136655, 2015
3) Prasad A, Lerman A, Rihal CS:Apical ballooning syndrome(Tako-Tsubo or stress cardiomyopathy):a mimic of acute myocardial infarction. Am Heart J 155:408-417, 2008
4) Ghadri JR, Cammann VL, Jurisic S, et al:A novel clinical score(InterTAK Diagnostic Score)to differentiate takotsubo syndrome from acute coronary syndrome:results from the International Takotsubo Registry. Eur J Heart Fail 19:1036-1042, 2017
5) Ghadri JR, Wittstein IS, Prasad A, et al:International Expert Consensus Document on Takotsubo Syndrome(Part Ⅰ):Clinical Characteristics, Diagnostic Criteria, and Pathophysiology. Eur Heart J 39:2032-2046, 2018
6) Isogai T, Yoshikawa T, Yamaguchi T, et al:Differences in Initial Electrocardiographic Findings of Apical Takotsubo Syndrome According to the Time from Symptom Onset. Am J Cardiol 122:1630-1637, 2018
7) Ghadri JR, Wittstein IS, Prasad A, et al:International Expert Consensus Document on Takotsubo Syndrome(Part Ⅱ):Diagnostic Workup, Outcome, and Management. Eur Heart J 39:2047-2062, 2018
8) Böhm M, Cammann VL, Ghadri JR, et al:Interaction of systolic blood pressure and resting heart rate with clinical outcomes in takotsubo syndrome:insights from the International Takotsubo Registry. Eur J Heart Fail 20:1021-1030, 2018
9) Yamaguchi T, Yoshikawa T, Isogai T, et al:Predictive Value of QRS Duration at Admission for In-Hospital Clinical Outcome of Takotsubo Cardiomyopathy. Circ J 81:62-68, 2016
10) Murakami T, Yoshikawa T, Maekawa Y, et al:Characterization of predictors of in-hospital cardiac complications of takotsubo cardiomyopathy:multi-center registry from Tokyo CCU Network. J Cardiol 63:269-273, 2014
11) Citro R, Bossone E, Parodi G, et al:Independent Impact of RV Involvement on In-Hospital Outcome of Patients With Takotsubo Syndrome. JACC Cardiovasc Imaging 9:894-895, 2016
12) Lyon AR, Bossone E, Schneider B, et al:Current state of knowledge on Takotsubo syndrome:a Position Statement from the Taskforce on Takotsubo Syndrome of the Heart Failure Association of the European Society of Cardiology. Eur J Heart Fail 18:8-27, 2016

掲載誌情報

出版社:株式会社医学書院

電子版ISSN:2432-3292

印刷版ISSN:2432-3284

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