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[Reverse Takotsubo syndrome pattern induced by local anaesthesia]
János Tomcsányi1, Hrisula Arabadzisz, Tamás Frész
1Budai Irgalmasrendi Kórház Kardiológia Budapest Arpád fejedelem útja 7. 1023. tomcsanyi.janos@t-online.hu
Orvosi Hetilap
|December 17, 2008
Summary
This study describes reverse Takotsubo syndrome, a new variant of Takotsubo cardiomyopathy. Unlike the classic form, it causes basal segment dilation and a hyperkinetic apex, resolving within days.
Area of Science:
- Cardiology
- Cardiovascular Medicine
- Clinical Case Reports
Background:
- Takotsubo syndrome, or stress-induced cardiomyopathy, typically involves transient apical ballooning.
- A less common variant, reverse Takotsubo syndrome, presents with distinct regional wall motion abnormalities.
Observation:
- A 36-year-old female developed symptoms after lidocaine with adrenaline injection for ear plastic surgery.
- Coronary artery disease was ruled out despite chest pain and elevated troponin levels.
- Echocardiography showed akinesis of basal cardiac segments and a hyperdynamic apex.
Findings:
- The patient presented with reverse Takotsubo syndrome, characterized by basal segment dilatation and apical hyperkinesis.
- This condition was diagnosed after excluding other causes of cardiac symptoms.
- Complete resolution of wall motion abnormalities was observed within three days.
Implications:
- This case expands the spectrum of Takotsubo syndrome presentations.
- It highlights the importance of considering reverse Takotsubo syndrome in patients with cardiac symptoms post-adrenergic stimulation.
- Further research may elucidate the specific mechanisms and long-term outcomes of this syndrome.
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