Anesthetic Approach to Emergency Patient with Takotsubo Cardiomyopathy

Abstract

Takatsubo cardiomyopathy (TKM) is a table similar to the acute myocardial infarction seen in postmenopausal women, which is catecholamine discharge due to acute stress or coronary artery spasm. TKM is usually characterized by recurrent left ventricular failure and constitutes 1-3 % of suspected acute coronary syndromes. The most common symptoms are chest pain, syncope, dyspnea and abnormal ST and T (-) changes are frequently seen in ECG. In this case report, our anesthesia approach is presented in a 19-year-old pregnant with TKM who was operated on because of urgent cesarean section.

Keywords

• Takotsubo,cardiomyopathy,anesthesia

Takotsubo Kardiyomyopatili Acil Hastada Anestezik Yaklaşım

Öz

Takatsubo kardiyomiyopatisi (1) (TKM), sıklıkla postmenapozal kadınlarda görülen, akut stres sonrasında katekolamin deşarjına veya koroner arter spazmına bağlı gelişen, akut myokard infarktüsüne benzer bir tablodur. TKM genellikle geri dönüşümlü sol ventrikül yetmezliği ile karakterizedir ve şüpheli akut koroner sendromların %1-3’ünü oluşturur. En sık semptomlar göğüs ağrısı, senkop, dispnedir ve anormal ST ve T (-) değişiklikleri EKG’ de sıklıkla görülür. Bu olgu sunumunda TKM’li acil sezeryan seksiyo nedeniyle operasyonuna alınmış 19 yaşında gebedeki anestezi yaklaşımımız sunulmuştur.

Anahtar Kelimeler

• Takotsubo,kardiyomiyopati,anestezi

Kaynakça

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