Abstract
Takotsubo syndrome (stress-induced cardiomyopathy) is well known in adult cardiology practice, and it also occurs in children. Takotsubo syndrome develops after emotional or physical stress. There is an acute transient disorder of the left ventricle contractility of the apex. The development of pain syndrome, electrocardiographic changes and troponins elevation imitate myocardial infarction. The key diagnostic point is intact coronary arteries and complete reversibility of local contractility disorders over the time.The article describes the clinical case of takotsubo syndrome in an adolescent with type III spinal muscular atrophy after planned surgery (repeated posterior spondylodesis).Takotsubo syndrome with clinical manifestations of acute left ventricular failure and pulmonary edema developed in the early postoperative period with distinctive electrocardiographic changes (ST segment elevation, local impairment of left ventricular contractility according by echocardiography and ventriculography, and increased levels of troponin). Timely examination and correction of therapy confirm the clinical diagnosis. The regression of symptoms occurred within a few days.
Highlights
Takotsubo syndrome is well known in adult cardiology practice, and it occurs in children
The article describes the clinical case of takotsubo syndrome in an adolescent with type III spinal muscular atrophy after planned surgery.Takotsubo syndrome with clinical manifestations of acute left ventricular failure and pulmonary edema developed in the early postoperative period with distinctive electrocardiographic changes (ST segment elevation, local impairment of left ventricular contractility according by echocardiography and ventriculography, and increased levels of troponin)
Длительность терапии неизвестна, по мнению одних авторов, она может быть ограничена нормализацией функции левого желудочка; другие авторы предлагают в качестве профилактики рецидива синдрома такоцубо пролонгировать прием бета-адреноблокаторов [1, 14]
Summary
Takotsubo syndrome (stress-induced cardiomyopathy) is well known in adult cardiology practice, and it occurs in children. Синдром такоцубо развивается после эмоционального или физического стресса: остро возникает обратимое нарушение сократимости левого желудочка в области верхушки. Представлено клиническое наблюдение развития синдрома такоцубо у подростка со спинальной мышечной атрофией III типа после планового оперативного вмешательства (повторный задний спондилодез). Развитие синдрома такоцубо с клиническими проявлениями острой левожелудочковой недостаточности и отеком легких произошло в раннем послеоперационном периоде с характерными изменениями на электрокардиограмме в виде элевации сегмента ST, локальным нарушением сократимости левого желудочка по данным эхокардиографии и вентрикулографии, повышением уровня тропонинов в крови.
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