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首页> 外文期刊>Journal of cardiac surgery. >Takotsubo cardiomyopathy caused by emotional stressors in the coronavirus disease 2019 (COVID-19) pandemic era
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Takotsubo cardiomyopathy caused by emotional stressors in the coronavirus disease 2019 (COVID-19) pandemic era

机译：Takotsubo心肌病引起的冠状病毒疾病2019年（Covid-19）大流行时代

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The COVID-19 pandemic has had far-reaching consequences beyond the disease itself, including economic, social, political, religious, and psychological implications. This novel coronavirus has been shown to have cardiovascular manifestations in the form of arrhythmias, conduction disturbances, myocarditis, stress cardiomyopathy, myocardial injury and myocardial ischemia or infarction from increased microvascular and/or macrovascular coagulopathy. However, in addition to these direct effects, we are now starting to recognize indirect cardiovascular effects of COVID-19 in the form of increased incidence of Takutsobo cardiomyopathy in patients without any evidence of coronavirus infection presumably due to the increased psychological stress of social isolation and societal turbulence. In this case series, we present two post-menopausal women, presenting with chest pain and acute coronary syndrome, who are finally diagnosed with stress cardiomyopathy, triggered by increased emotional stress-related to the pandemic. There is data from a retrospective cohort analysis showing a fourfold increase in the incidence of acute coronary syndrome resulting from stress cardiomyopathy during the pandemic period compared to similar times periods before the pandemic. Hence, health care providers need to be cognizant of the emotional ramifications of the ongoing pandemic in the form of increased risk of Takotsubo cardiomyopathy. Moreover, urgent measures need to be taken to help the at-risk population cope with the ongoing stressors to help decrease the incidence of this cardiomyopathy.
机译：2019冠状病毒疾病流行的影响深远，包括经济、社会、政治、宗教和心理等方面的影响。这种新型冠状病毒已被证明有心血管表现形式的心律失常，传导障碍，心肌炎，应激性心肌病，心肌损伤和心肌缺血或梗死微血管和/或大血管凝血病。2019冠状病毒疾病的发病率增加，但是，除了这些直接效应之外，我们现在开始认识到CVID-19的间接心血管效应，其形式是Takutso心肌病的发病率增加，而没有任何冠状病毒感染的证据，推测是由于社会隔离和社会动荡的心理压力增加。在本病例系列中，我们介绍了两名绝经后妇女，她们表现为胸痛和急性冠状动脉综合征，最终被诊断为应激性心肌病，由与大流行相关的情绪压力增加引发。回顾性队列分析的数据显示，与大流行前的类似时期相比，大流行期间由应激性心肌病引起的急性冠状动脉综合征的发病率增加了四倍。因此，医疗保健提供者需要认识到当前大流行的情绪后果，即塔科苏博心肌病风险增加。此外，需要采取紧急措施，帮助高危人群应对持续的压力源，以帮助降低这种心肌病的发病率。

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