Takotsubo cardiomyopathy mimicking postoperative myocardial infarction in a young healthy patient

The anaesthesia technique involved combined spinal epidural (CSE) anaesthesia with 3 ml of 0.5% heavy bupivacaine intrathecally, intraoperative course was uneventful and duration of surgery lasted 2 hours with systolic blood pressure ranging from 130 to 150 mmHg. Since the patient had epidural cathe...

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Published inIndian journal of anaesthesia Vol. 57; no. 2; pp. 193 - 195
Main Authors Mallick, Piyush, Upadhaya, Surjya, Das, Anupam, Singh, Raj Kumar
Format Journal Article
LanguageEnglish
Published India Medknow Publications 01.03.2013
Medknow Publications and Media Pvt. Ltd
Medknow Publications & Media Pvt. Ltd
Medknow Publications & Media Pvt Ltd
Wolters Kluwer Medknow Publications
Subjects
Acute coronary syndromes
Biomarkers
Bone-grafting
Brief Communication
Cardiomyopathy
Care and treatment
Complications and side effects
Development and progression
Heart attacks
Heart diseases
Management
Medical imaging
Patients
Postoperative care
Regional anesthesia
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Summary:The anaesthesia technique involved combined spinal epidural (CSE) anaesthesia with 3 ml of 0.5% heavy bupivacaine intrathecally, intraoperative course was uneventful and duration of surgery lasted 2 hours with systolic blood pressure ranging from 130 to 150 mmHg. Since the patient had epidural catheter as a hospital protocol, we kept this patient in HDU for post-operative analgesia. Epidural analgesia was delayed till the recovery of motor power, but as soon as motor blockade wore off, patient complained of severe pain at surgical site which settled after epidural bolus but there was significant rise in blood pressure (200/110 mmHg) during the painful crisis with straining pattern of ST segment in infero-lateral leads [Figure 1].
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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ISSN:0019-5049
0976-2817
DOI:10.4103/0019-5049.111856