Research progress of stress cardiomyopathy in patients of ICU
10.3760/cma.j.cn431274-20200217-00153
- VernacularTitle:ICU患者应激性心肌病的研究进展
- Author:
Qiang SUN
1
;
Xiqing WEI
;
Jinguo ZHANG
Author Information
1. 济宁医学院附属医院重症医学科 272029
- From:
Journal of Chinese Physician
2020;22(11):1753-1757
- CountryChina
- Language:Chinese
-
Abstract:
Stress cardiomyopathy (SCM) is a kind of clinical syndrome characterized by transient ventricular enlargement and left ventricular regional systolic dysfunction caused by strong mental stimulation or physical stress, and accompanied by electrocardiogram (ECG) changes. Its clinical symptoms and ECG manifestations are similar to those of acute coronary syndrome in the early stage of onset, which is easy to be misdiagnosed. However, patients in intensive care unit (ICU) are often in critical and severe condition, and they often preceded different degrees by emotional or physical stress. Therefore, patients in ICU are prone to complicated with SCM. Otherwise, the symptoms of SCM patients in ICU are not typical. Early diagnosis and optimal treatment are the key to improve the prognosis of patients in ICU. The etiology, epidemiology, pathophysiological mechanism, diagnosis and management of SCM in ICU are reviewed in this paper.
