Cardiogenic shock induced by Takotsubo cardiomyopathy in early postoperative adrenalectomy period

Rev Esp Anestesiol Reanim (Engl Ed). 2019 May;66(5):288-291. doi: 10.1016/j.redar.2018.12.005. Epub 2019 Jan 18.
[Article in English, Spanish]

Abstract

Takotsubo cardiomyopathy is part of the group of diseases called stress-induced cardiomyopathies. Its usual clinical presentation is indistinguishable from an acute coronary syndrome. However, early diagnosis is important, as it may debut as a cardiogenic shock in approximately 8% of cases, with morbidity and mortality rates comparable to those of acute coronary syndrome. For this reason, although it is a relatively infrequent condition, the perioperative period is a stress factor that can act as a trigger of this pathology. A case is presented of the onset of Takotsubo cardiomyopathy as a cardiogenic shock during admission in a Postoperative Recovery Unit.

Keywords: Cardiogenic shock; Cardiomiopatía; Cardiomyopathy; Estrés; Hipotensión; Hypotension; Shock cardiogénico; Stress; Takotsubo.

Publication types

  • Case Reports

MeSH terms

  • Adrenalectomy*
  • Aged
  • Female
  • Humans
  • Postoperative Complications / etiology*
  • Shock, Cardiogenic / etiology*
  • Takotsubo Cardiomyopathy / complications*
  • Time Factors