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首页> 外文期刊>Journal of cardiology >Ampulla cardiomyopathy with delayed recovery of microvascular stunning: a case report
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Ampulla cardiomyopathy with delayed recovery of microvascular stunning: a case report

机译：Ampulla心肌病与微血管令人惊艳的延迟恢复：案例报告

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A 71-year old woman with schizophrenia was admitted to our hospital on November 26, 2002 under a diagnosis of acute myocardial infarction because of ST segment elevation in leads V2-V5 and positive serum cardiac troponin T level. Emergent coronary angiography showed no significant stenosis, but left ventriculography demonstrated apical ballooning and basal hyperkinesis. The final diagnosis was ampulla cardiomyopathy. Myocardial contrast echocardiography during the acute phase revealed an echocontrast defect consistent with the area of apical ballooning. The condition improved gradually as determined by disappearance of the abnormal wall motion. The coronary flow reserve in the left anterior descending artery measured by transthoracic Doppler echocardiography was decreased at 1.5 in the acute phase and gradually recovered over a period of 3 months (23 days, 1.9; 96 days, 2.9). Microvascular stunning defined as decreased coronary flow reserve was observed and recovery was delayed in this case compared with cases of myocardial stunning. These findings are of interest in evaluating the pathophysiology of ampulla cardiomyopathy.
机译：2002年11月26日，在2002年11月26日在急性心肌梗死的诊断下，一名71岁的女性被诊断为急性心肌梗死，因为LIN v2-V5和阳性血清心肌肌钙蛋白T水平。紧急冠状动脉造影显示没有显着的狭窄，但左心室摄影展示了顶端膨胀和基底高核。最终的诊断是Ampulla心肌病。急性期间心肌对比度超声心动图揭示了与顶端膨胀的面积一致的回波CONTRAST缺陷。由于异常壁运动的消失，该条件逐渐改进。通过Transthoracic多普勒超声心动图测量的左前后下降动脉冠状动脉储备在急性期的1.5点下降，逐渐回收3个月（23天，1.9; 96天，2.9）。与心肌令人惊艳的病例相比，观察到微血管剧集被观察到冠状动脉流量储备减少，恢复延迟。这些发现对于评估Ampulla心肌病的病理生理学感兴趣。

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