Perioperative approach of patient with takotsubo syndrome

Barros, Joana; Gomes, Daniel de Oliveira; Caramelo, Susana; Pereira, Marta

doi:10.1016/j.bjane.2014.11.003

Cited by 4 publications

(2 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Since its initial description, there has been a gradual increase in the number of publications related to the disease, finding prevalence close to 1% (ranges from 0.7% to 2.5%) in patients with suspected ACS. [ 6 7 ] Because this pathology is not fully understood, there is a growing interest in elucidating the triggering factors, be they primary or secondary, as well as the underlying pathophysiology. [ 8 ] The predominant classic presentation is chest pain in the context of a middle-aged woman undergoing emotional stress.…”

Section: Discussionmentioning

confidence: 99%

Transesophageal echo diagnosis of perioperative unusual transient left ventricular apical ballooning syndrome

Mantilla¹,

Móntes²,

Amaya³

2016

Ann Card Anaesth

View full text Add to dashboard Cite

Stress cardiomyopathy, or Takotsubo syndrome, is a widely recognized cardiac pathology with a clinical presentation similar to acute coronary syndrome and related to physical or emotional stress. Perioperatively, it is challenging to identify it given the variety of forms and scenarios in which it can present. We describe a 22-year-old patient with an atypical presentation of Takotsubo syndrome during anesthesia induction, which highlights the usefulness of transesophageal echocardiography for the initial diagnosis.

show abstract

Section: Discussionmentioning

confidence: 99%

Transesophageal echo diagnosis of perioperative unusual transient left ventricular apical ballooning syndrome

Mantilla¹,

Móntes²,

Amaya³

2016

Ann Card Anaesth

View full text Add to dashboard Cite

show abstract

“…2 Any anesthetic surgery corresponds to a stressful situation and initiates a cascade of physiological and metabolic events with a significant increase in catecholamines in plasma, which begins in the preanesthetic period and ends within 3-4 days, postoperatively. 3 However, the actual role of catecholamines in the pathogenesis and prevention of perioperative TC needs further exploration.…”

Section: Commentmentioning

confidence: 99%

Takotsubo cardiomyopathy following pericardiectomy: A case report

Zhang

Liao

2021

Journal of Cardiac Surgery

View full text Add to dashboard Cite

Background Takotsubo cardiomyopathy (TC) is defined as a temporary and reversible systolic abnormality of the left ventricle's apical area resembling myocardial infarction in the nonexistence of coronary artery disease. Only a few cases have been reported after cardiac operations or after pericardiocentesis. Aim To emphasize the need to be aware of the possibility of the occurrence of this potentially fatal complication after cardiac surgery. Materials and Methods A 66‐year‐old man underwent a pericardiectomy. He progressed to exacerbation of hemodynamic instability postoperatively and was diagnosed with TC, finally, he had to be supported by an intra‐aortic balloon pump (IABP), extracorporeal membrane oxygenation (ECMO). Results Patient's left ventricle function recovered fully in 2 weeks. Discussion We discussed the pathogenesis and treatment of postoperative TC. Conclusion TC has to be carefully considered in the differential diagnosis in case of acute left ventricle dysfunction following cardiac surgery.

show abstract

Takotsubo Cardiomyopathy Precipitated By Thyroidectomy - A Case Report

Vujović

Stefanović

Matić

et al. 2021

Serbian Journal of Experimental and Clinical Research

View full text Add to dashboard Cite

Takotsubo cardiomyopathy (TC) is an acute cardiac condition triggered by emotional or physical stress. General anesthesia and sympathetic activation are possible triggers for TC. However, little is known about the role of sympathovagal activity in TC. In our report, we present a female patient, aged 62, who underwent thyroidectomy and at the end of the surgery developed cardiac complications. The patient had no chest pain, but had ST depression and negative T waves on the electrocardiogram (ECG). Cardiospecific enzyme troponin was elevated. Cardiac catheterization revealed unobstructed coronary arteries. Echo-cardiography revealed the enlargement of the left ventricle and ejection fraction of 40%. The patient was diagnosed with TC and dual antiplatelet therapy was introduced, a beta blocker and ACE inhibitor.It is possible that TC in perioperative period after thyroidectomy in this patient occured due to both sympathetic and parasympathetic activation. Probably, extraction of large thyroid induced vagal stimulation which resulted in hypotension and bradicardia. The patient was subsequently treated with adrenaline and atropine. In this case, sympathetic and parasympathetic activation in different intervals could result in the development of this condition.

show abstract

Perioperative approach of patient with takotsubo syndrome

Cited by 4 publications

References 17 publications

Transesophageal echo diagnosis of perioperative unusual transient left ventricular apical ballooning syndrome

Transesophageal echo diagnosis of perioperative unusual transient left ventricular apical ballooning syndrome

Takotsubo cardiomyopathy following pericardiectomy: A case report

Takotsubo Cardiomyopathy Precipitated By Thyroidectomy - A Case Report

Contact Info

Product

Resources

About