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[Case of Takotsubo cardiomyopathy after induction of general anesthesia]

Norihiko Sukenaga1, Hideki Noma, Nobuyasu Komasawa

  • 1Department of Anesthesiology, Takarazuka Municipal Hospital, Takarazuka 665-0827.

Masui. the Japanese Journal of Anesthesiology
|August 25, 2011
PubMed

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.

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