Кардиомиопатия такотсубо. Часть 2

Авторы: А. М. Лебедева *, Е. Ю. Васильева, А. В. Шпектор

Организация:
Кафедра кардиологии ФПДО ГБОУ ВПО «Московский государственный медико-стоматологический университет им. А. И. Евдокимова» Министерства здравоохранения РФ

Для корреспонденции: Сведения доступны для зарегистрированных пользователей.

Тип статьи: Клиническая лекция

Ключевые слова: кардиомиопатия такотсубо, острый инфаркт миокарда с подъемом ST, резерв коронарного кровотока, кортикотропин-рилизинг-гормон, дисфункция эндотелия, эндотелийзависимая вазодилатация плечевой артерии

Полнотекстовая версия:  

 

Аннотация

Кардиомиопатия такотсубо (КМПТ) - редкий вид кардиомиопатии, при котором возникают обратимые нарушения сократимости миокарда. В первой лекции нами была рассмотрена эпидемиология и ранние гипотезы возникновения синдрома. В данной лекции описаны наиболее распространенные теории патогенеза кардиомиопатии такотсубо. Среди них теория о нарушении резерва коронарного кровотока в острой фазе КМПТ. Интересна также роль эндотелиальной дисфункции (имевшей место в нашем исследовании) в патогенезе КМПТ. Подробно рассмотрены возможные причины, по которым кардиомиопатия такотсубо возникает преимущественно у женщин.

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