Кардиомиопатия такоцубо у спортсменов

Кардиомиопатия такоцубо (КТ) стала встречаться в клинической практике все чаще, причем при самой разной патологии, что, по-видимому, связано с улучшением диагностики данного заболевания. И вместе с тем до сих пор этот диагноз устанавливается не всегда, в первую очередь в связи с недостаточной осведомленностью врачей о данном заболевании. КТ имеет множество синонимов: разбитого сердца, стресс-индуцированная кардиомиопатия, синдром верхушечного баллонирования. КТ представляет собой форму острой, как правило, обратимой сердечной недостаточности, провоцируемой у большинства пациентов различными стрессорными факторами, протекающей с транзиторной дисфункцией преимущественно левого желудочка, клинически и эхокардиографически напоминающей острый коронарный синдром. В последнее время КТ довольно часто стала выявляться у спортсменов во время проведения нагрузочного тестирования (велоэргометрия, тредмил). Учитывая имеющийся большой объем информации по проблеме КТ и множество нерешенных вопросов, возникла необходимость проанализировать данные литературы и поделиться собственным опытом диагностики КТ. В статье освещаются аспекты этиологии, патогенеза, эпидемиологии, диагностики и лечения стресс-индуцированной КТ, возникающей в ответ на физический стресс и характеризующейся транзиторной дисфункцией левого желудочка. Клинический пример является собственным наблюдением авторов.

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