Role of echocardiography in stress cardiomyopathy diagnosis after tracheal extubation

Authors

  • Sanja Sakan Department of Anesthesiology and Intensive Care, Magdalena Special Hospital for Cardiovascular Surgery and Cardiology, Krapinske Toplice, Croatia
  • Petar Matosevic Department of Surgery, University Hospital Center Zagreb, Zagreb, Croatia
  • Daniela Bandic Pavlovic Department of Anesthesia and Intensive care, University Hospital Center Zagreb, Croatia
  • Iva Rukavina Department of Pediatrics, University Hospital Center Zagreb, Zagreb, Croatia
  • Jelena Magas Vadlja Department of Anesthesia and Intensive care, University Hospital Center Zagreb, Croatia
  • Igor Balenovic Department of Anesthesia and Intensive care, University Hospital Center Zagreb, Croatia

DOI:

https://doi.org/10.18203/2320-6012.ijrms20173597

Keywords:

Anesthesia, Critical care, Echocardiography, Heart failure, Takotsubo cardiomyopathy

Abstract

Stress cardiomyopathy or Takotsubo cardiomyopathy is a new syndrome and still insufficiently recognized among emergency patients, hospitalized patients. Many different physical and emotional stressors are triggers, but individual susceptibility to Takotsubo cardiomyopathy can not be predicted. Takotsubo cardiomyopathy in surgical and critical care population is a huge diagnostic challenge. Apart that these patients are treated in stressful environment and conditions. Postoperatively due to change of consciousness and inability to speak we can not rely on verbal symptoms to make differential diagnosis. Although essential sometimes they can not be submitted to coronary angiography to exclude obstructive coronary disease due many risk factors. So, then we follow clinical course, electrocardiographic, radiologic and echocardiographic dynamic changes, laboratory findings and consiliar opinion to make diagnosis. We represent a case of Takotsubo cardiomyopathy in a 59-years old postmenopausal Caucasian woman after tracheal extubation. She was submitted to surgery of intraabdominal collection evacuation in short general endotracheal anesthesia.

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Published

2017-07-26

How to Cite

Sakan, S., Matosevic, P., Pavlovic, D. B., Rukavina, I., Vadlja, J. M., & Balenovic, I. (2017). Role of echocardiography in stress cardiomyopathy diagnosis after tracheal extubation. International Journal of Research in Medical Sciences, 5(8), 3737–3741. https://doi.org/10.18203/2320-6012.ijrms20173597

Issue

Section

Case Reports