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首页> 外文期刊>Journal of bronchology & interventional pulmonology >Stress-induced Cardiomyopathy Complicating a Stroke Caused by an Air Embolism
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Stress-induced Cardiomyopathy Complicating a Stroke Caused by an Air Embolism

机译:应激诱发的心肌病并发由空气栓塞引起的中风

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摘要

Systemic air embolism is a very rare (< 0.1%) complication of computed tomography-guided transthoracic needle aspiration and can result in serious neurological and/or cardiac sequelae. Stroke and stress cardiomyopathy can have a variety of etiologies; however, an association of Takotsubo cardiomyopathy with cerebrovascular events precipitated by an air embolus has not been reported. We report a patient with stress-induced cardiomyopathy after an air embolus-induced stroke. The patient was managed with hyperbaric oxy-genation and her cardiomyopathy was initially treated as per the acute coronary syndrome protocol until coronary angiography confirmed patent arteries. We review the pathophysiology and management recommendations for both events. Prompt recognition of air embolism-induced cerebrovascular events and stress cardiomyopathy by clinicians is imperative to the timely initiation of appropriate management and a successful treatment outcome.
机译:全身性空气栓塞是计算机断层扫描引导的经胸针穿刺抽吸术的一种非常罕见的并发症(<0.1%),并可能导致严重的神经系统和/或心脏后遗症。中风和应激性心肌病的病因可能多种多样。然而,尚未见Takotsubo心肌病与空气栓塞引起的脑血管事件的相关性。我们报告一名患者因空气栓塞诱发的中风后出现应激性心肌病。对该患者进行了高压氧合治疗,并根据急性冠状动脉综合症的治疗方案对她的心肌病进行了初步治疗,直到冠状动脉造影术证实了动脉通畅。我们回顾了这两种情况的病理生理学和管理建议。临床医生必须迅速识别出空气栓塞引起的脑血管事件和应激性心肌病,这对于及时开始适当的治疗和成功的治疗结果至关重要。

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