Open AccessJournal Article
["Takotsubo" cardiomyopathy developed in the postoperative period in a patient with amyotrophic lateral sclerosis].
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A 75-year-old woman with amyotrophic lateral sclerosis underwent surgical gastrostomy and repair of incisional hernia and an extreme care is required in patient with ALS to avoid perioperative complications.Abstract:
A 75-year-old woman with amyotrophic lateral sclerosis (ALS) underwent surgical gastrostomy and repair of incisional hernia Anesthesia was induced with propofol and high concentrations of sevoflurane Tracheal intubation was performed without muscle relaxants Anesthesia was maintained with sevoflurane and thoracic epidural anesthesia (bupivacaine and fentanyl) Surgery, emergence and extubation were completed uneventfully She was transferred to ICU for postoperative observation On the 2 nd POD, however, she was re-intubated due to sudden dyspnea and desaturation caused by failed sputum exhaustion Simultaneously, her ECG showed ischemic change in leads I, III, aVF, and V3-6 Left ventriculogram showed an "Ampulla" or so called "Takotsubo" shape with intact coronary angiogram After medication with nitroglycerin and diltiazem, her ECG returned to normal She showed no deterioration of neurological symptoms No respiratory and cardiac events were reported until her discharge from hospital We conclude that an extreme care is required in patient with ALS to avoid perioperative complicationsread more
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CNS disease triggering Takotsubo stress cardiomyopathy.
Josef Finsterer,Karim Wahbi +1 more
TL;DR: Takotsubo syndrome is one of the cardiac abnormalities most frequently induced by CNS disorders, and Appropriate management of TTS from CNS disorders is essential to improve the outcome of affected patients.
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Takotsubo syndrome during induction of general anaesthesia
TL;DR: This case emphasises the importance of being aware of uncommon causes of cardiac dysfunction in stressful situations, especially during induction of general anaesthesia, as well as the need to be aware of reversible course of Takotsubo syndrome.
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Takotsubo cardiomyopathy and its relevance to anesthesiology: a narrative review
TL;DR: Perioperative TTCM is more common than appreciated and should be considered in any hospitalized patient presenting with acute coronary syndrome and/or hemodynamic instability, acute respiratory distress, as well as cardiac arrhythmias and arrest.
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Perioperative transient left ventricular apical ballooning syndrome: Takotsubo cardiomyopathy: a review.
Suyan Liu,Mohammed Saeed Dhamee +1 more
TL;DR: Adequate beta-blockade is the mainstay in the treatment of patients with TLVAB during the acute phase and also for long-term management.
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Transient left ventricular dysfunction (tako-tsubo phenomenon): Findings and potential pathophysiological mechanisms.
TL;DR: Patients with TTP should be monitored similarly to myocardial infarction patients because organ failure, cardiogenic shock, ventricular fibrillation or rupture may occur, and Beta-blockers are indicated, whereas catecholamines and nitrates should be avoided.