Perioperative approach of patient with takotsubo syndrome
Abstract Introduction: Takotsubo cardiomyopathy (TCM) is a stress-induced cardiomyopathy. It is characterized by an acute onset of symptoms and electrocardiographic abnormalities mimicking an acute coronary syndrome in the absence of obstructive coronary artery disease. Any anesthetic-surgical even...
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Sociedade Brasileira de Anestesiologia
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doaj-47bd385bdd424aebb7f3f40f6b6e6bd22020-11-25T00:56:37ZengSociedade Brasileira de AnestesiologiaRevista Brasileira de Anestesiologia1806-907X67332132510.1016/j.bjane.2014.11.003S0034-70942017000300321Perioperative approach of patient with takotsubo syndromeJoana BarrosDiana GomesSusana CarameloMarta PereiraAbstract Introduction: Takotsubo cardiomyopathy (TCM) is a stress-induced cardiomyopathy. It is characterized by an acute onset of symptoms and electrocardiographic abnormalities mimicking an acute coronary syndrome in the absence of obstructive coronary artery disease. Any anesthetic-surgical event corresponds to a stressful situation, so the anesthetic management of patients with TCM requires special care throughout the perioperative period. We describe the anesthetic management of a patient with a confirmed diagnosis of TCM undergoing segmental colectomy. Case report: Female patient, 55 years old, ASA III, with history of takotsubo syndrome diagnosed 2 years ago, scheduled for segmental colectomy. The patient, without other changes in preoperative evaluation, underwent general anesthesia associated with lumbar epidural and remained hemodynamically stable during the 2 h of surgery. After a brief stay in the Post-Anesthesia Care Unit, she was transferred to the Intermediate Care Unit (IMCU), with epidural analgesia for postoperative period. Conclusion: TCM is a rare disease which true pathophysiology remains unclear, as well as the most appropriate anesthetic-surgical strategy. In this case, through a preventive approach, with close monitoring and the lowest possible stimulus, all the perioperative period was uneventful. Because it is a rare disease, this report could help to raise awareness about TCM.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942017000300321&lng=en&tlng=enSíndrome de takotsuboAnestesiaMiocardiopatiaEstresse |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Joana Barros Diana Gomes Susana Caramelo Marta Pereira |
spellingShingle |
Joana Barros Diana Gomes Susana Caramelo Marta Pereira Perioperative approach of patient with takotsubo syndrome Revista Brasileira de Anestesiologia Síndrome de takotsubo Anestesia Miocardiopatia Estresse |
author_facet |
Joana Barros Diana Gomes Susana Caramelo Marta Pereira |
author_sort |
Joana Barros |
title |
Perioperative approach of patient with takotsubo syndrome |
title_short |
Perioperative approach of patient with takotsubo syndrome |
title_full |
Perioperative approach of patient with takotsubo syndrome |
title_fullStr |
Perioperative approach of patient with takotsubo syndrome |
title_full_unstemmed |
Perioperative approach of patient with takotsubo syndrome |
title_sort |
perioperative approach of patient with takotsubo syndrome |
publisher |
Sociedade Brasileira de Anestesiologia |
series |
Revista Brasileira de Anestesiologia |
issn |
1806-907X |
description |
Abstract Introduction: Takotsubo cardiomyopathy (TCM) is a stress-induced cardiomyopathy. It is characterized by an acute onset of symptoms and electrocardiographic abnormalities mimicking an acute coronary syndrome in the absence of obstructive coronary artery disease. Any anesthetic-surgical event corresponds to a stressful situation, so the anesthetic management of patients with TCM requires special care throughout the perioperative period. We describe the anesthetic management of a patient with a confirmed diagnosis of TCM undergoing segmental colectomy. Case report: Female patient, 55 years old, ASA III, with history of takotsubo syndrome diagnosed 2 years ago, scheduled for segmental colectomy. The patient, without other changes in preoperative evaluation, underwent general anesthesia associated with lumbar epidural and remained hemodynamically stable during the 2 h of surgery. After a brief stay in the Post-Anesthesia Care Unit, she was transferred to the Intermediate Care Unit (IMCU), with epidural analgesia for postoperative period. Conclusion: TCM is a rare disease which true pathophysiology remains unclear, as well as the most appropriate anesthetic-surgical strategy. In this case, through a preventive approach, with close monitoring and the lowest possible stimulus, all the perioperative period was uneventful. Because it is a rare disease, this report could help to raise awareness about TCM. |
topic |
Síndrome de takotsubo Anestesia Miocardiopatia Estresse |
url |
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942017000300321&lng=en&tlng=en |
work_keys_str_mv |
AT joanabarros perioperativeapproachofpatientwithtakotsubosyndrome AT dianagomes perioperativeapproachofpatientwithtakotsubosyndrome AT susanacaramelo perioperativeapproachofpatientwithtakotsubosyndrome AT martapereira perioperativeapproachofpatientwithtakotsubosyndrome |
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1725226279979974656 |