Author/Editor		Bernhardt, Matej; Naji, Franjo; Podlesnikar, Tomaž
Title		Stresna kardiomiopatija - jasna ali prikrita klinična slika?
Translated title		Stress-induced cardiomyopathy - evident or covert clinical presentation?
Type		članek
Source		In: Hojs R, Krajnc I, Pahor A, et al, editors. Zbornik predavanj in praktikum 23. srečanje internistov in zdravnikov dru inske medicine Iz prakse za prakso; 2012 maj 25-26; Maribor. Maribor: Univerzitetni klinični center,
Publication year		2012
Volume		str. 103-6
Language		slo
Abstract		Stress-induced cardiomyopathy (SCM) is a cardiac disease, characterised by transient contractile dysfunction of the apical and mid segments of the left ventricle. Patients usually seek medical help due to chest pain, which is accompanied by ECG abnormalities and raised cardiac enzymes. The onset of the disease is frequently triggered by an acute emotional or physical stress, especially among postmenopausal women. Covert clinical presentation mimics acute coronary syndrome (ACS) in the first place, as well as other clinical states characterised by intense chest pain. Diagnosis can be confirmed with coronarography, which shows at most mild coronary artery disease, in contrast with characteristic contractile dysfunction of the left ventricle.
Summary		Stresna kardiomiopatija (SKM) je srčna bolezen, za katero je značilna prehodna motnja krčenja apikalnih in srednjih delov levega prekata. Bolnika navadno privede k iskanju zdravniške pomoči bolečina v prsih, ki jo spremljajo EKG nepravilnosti in povišani srčni encimi. Značilna je povezava simptomov z akutnim psihičnim ali fizičnim stresnim dogodkom, predvsem pri ženskah v postmenopavzalnem obdobju. Prikrita klinična slika v prvi vrsti posnema akutni koronarni sindrom (AKS), pa tudi druga klinična stanja, katerih vodilni simptom je bolečina v prsih. Diagnozo lahko potrdimo šele na osnovi koronarografskega izvida, ki praviloma pokaže odsotnost obstruktivne koronarne bolezni, in je v nasprotju z obsežnimi, za SKM značilnimi, motnjami krčenja srčne mišice.
Descriptors		PROGNOSIS