Abstract | PURPOSE: CLINICAL FEATURES: A 49-yr-old female patient presented with reverse Takotsubo cardiomyopathy in the operating room after an inadvertent injection of epinephrine. The development of refractory cardiogenic shock required emergent use of a mobile percutaneous ECMO system. It was possible to wean this support after four days, and the patient was later discharged without cardiac or neurological sequelae. The investigations performed confirmed the iatrogenic nature of this reverse Takotsubo cardiomyopathy. CONCLUSION:
Takotsubo cardiomyopathy following an injection of epinephrine remains a rare but increasingly described occurrence. The severity of the symptoms appears to be patient dependent, but refractory cardiogenic shock may occur and require significant circulatory support. If this situation occurs in a hospital where this necessary equipment is lacking, a mobile ECMO unit appears to be a viable solution to optimize the patient's chances of survival.
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Authors | Pierre Esnault, Laetitia Née, Thomas Signouret, Nicolas Jaussaud, François Kerbaul |
Journal | Canadian journal of anaesthesia = Journal canadien d'anesthesie
(Can J Anaesth)
Vol. 61
Issue 12
Pg. 1093-7
(Dec 2014)
ISSN: 1496-8975 [Electronic] United States |
Vernacular Title | « Reverse Tako-Tsubo » après injection iatrogène d'adrénaline nécessitant l'intervention d'une équipe mobile d'assistance circulatoire: à propos d'un cas. |
PMID | 25187250
(Publication Type: Case Reports, English Abstract, Journal Article)
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Chemical References |
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Topics |
- Epinephrine
(adverse effects)
- Extracorporeal Membrane Oxygenation
- Female
- Humans
- Middle Aged
- Shock, Cardiogenic
(etiology, therapy)
- Takotsubo Cardiomyopathy
(etiology, therapy)
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