發於停經後女性，然而，仍有妊娠婦女在剖腹產後發生章魚壺心肌症的罕見案例。此案例為一位40 歲患有子癲前症之孕婦，剖腹產後因急性肺水腫送至心臟內科加護病房治療。初診斷為疑似羊水栓塞導致肺栓塞，進行相關檢查後，診斷為章魚壺心肌症。經使用心臟衰竭藥物治療，病人的心臟收縮功能於住院第12 天完全恢復。本文將針對剖腹產後章魚壺心肌症之治療進行文獻回顧及討論，期望更為了解可能誘發因素與心臟衰竭藥物選擇，甚至預防再次發生的可能。

 

Takotsubo cardiomyopathy (TCM) often presents with symptoms resembling acute myocardial infarction and primarily affects postmenopausal women but rarely affects pregnant women after cesarean sections. In this case report, we present a case of a 40-year-old pregnant woman with a history of pre-eclampsia, who developed acute pulmonary edema after cesarean section, and was subsequently admitted to the cardiac intensive care unit for treatment. The patient was initially suspected to have amniotic fluid embolism leading to pulmonary embolism, but was diagnosed as TCM after relevant examinations. Following treatment with heart failure medications, the patient’s cardiac contractile function was completely recovered on the 12th day of hospitalization. This article aims to conduct a literature review and discussion about the treatment of TCM following cesarean sections, with the hope of gaining further insights into potential triggering factors, the selection of heart failure medications, and even strategies to prevent recurrence.

 

 

Submitted for publication: 2023.05.18; Accepted for publication: 2023.09.26