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[Case of Takotsubo cardiomyopathy after induction of general anesthesia].

Abstract
Takotsubo cardiomyopathy is a cardiac syndrome characterized by transient left ventricular dysfunction. A 79-year-old woman was scheduled for posterior lumbar interbody fusion for spinal compression fracture. After induction of general anesthesia, her blood pressure collapsed with significant ST rise in I, aVL, V3-V5. Emergent transthoracic echocardiography revealed excessive contraction of the base and severe hypokinesis of the apex suggesting Takotsubo cardiomyopathy. Chronic hypovolemia and electrolyte disorder due to habitual glycerin enema were considered to be causes of this sudden cardiac collapse.
AuthorsNorihiko Sukenaga, Hideki Noma, Nobuyasu Komasawa, Takashi Sugi, Shirou Nakamoto, Takane Tokuoka, Hideki Kakiuchi
JournalMasui. The Japanese journal of anesthesiology (Masui) Vol. 60 Issue 8 Pg. 957-60 (Aug 2011) ISSN: 0021-4892 [Print] Japan
PMID21861425 (Publication Type: Case Reports, Journal Article)
Chemical References
  • Glycerol
Topics
  • Aged
  • Anesthesia, General
  • Chronic Disease
  • Echocardiography
  • Enema (adverse effects)
  • Female
  • Fractures, Compression (surgery)
  • Glycerol (adverse effects)
  • Humans
  • Hypovolemia (etiology)
  • Intraoperative Complications (diagnostic imaging, etiology)
  • Spinal Fractures (surgery)
  • Spinal Fusion
  • Takotsubo Cardiomyopathy (diagnostic imaging, etiology)
  • Water-Electrolyte Imbalance (etiology)

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