A Study on Misdiagnosis Literature of Single Disease of Chinese Misdiagnosed Disease Database:Stress Induced Car-diomyopathy
HE Chun-lai
MENG Qing-yi
Abstract：Stress induced cardiomyopathy ( SCM) is a recently recognized form of transient left ventricular apical hy-pokinesis that is presumably precipitated by stress and may clinically resemble an acute coronary syndrome ( ACS ) , and is prone to be misdiagnosed. Twenty-eight literatures of misdiagnosis SCM were selected from enrolled misdiagnosis disease data-base, published in Chinese medical journals during 2004 and 2013. The enrolled misdiagnosed cases were 114 patients and no misdiagnosis rate was mentioned. Among the misdiagnosed diseases, the top three were acute myocardial infarction, ACS ( a-cute myocardial infarction excluded) and acute myocarditis. The misdiagnosis result showed no obvious adverse sequel in 114 cases ( grade Ⅲ misdiagnosis result) . The first misdiagnosis cause was the lack of specific symptoms and signs. And the sec-ond was inadequate clinical experience of physicians who lacked the knowledge about the SCM and ignored the specific tests. Clinical physicians should enrich the knowledge about the acute myocardial infarction, acute pulmonary embolism, acute aortic dissection, tension pneumothorax and SCM. Although SCM patients do not suffer permanent myocardial damage as the ACS disease, the suspected SCM cases should be treated as the ACS first with theβ-receptor agonists and catecholamine is forbid-den.
Keywords：CardiomyopathyMisdiagnosisMyocardial infarctionAcute coronary syndromeMyocarditis
Publication Date：2016-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 1-5 )