Abstract
Takotsubo sendromu sıklıkla yanlış tanı konulan, nadir bir hastalıktır. Sol ventrikülün apikal ve orta segmentlerinde geçici, reversibl bölgesel duvar hareket kusuru vardır ve elektrokardiyografi (EKG) değişiklikleri ile akut miyokard infarktüsünü taklit eder. Genellikle büyük bir duygusal stres veya ciddi tıbbi rahatsızlıktan sonra görülür, aynı zamanda cerrahi stresle de ilişkili olabilir. Perioperatif dönemin hastalarda stres oluşturduğu iyi bilinir ve özellikle genel anestezi sırasında akut miyokard enfarktüsünü taklit eden elektrokardiyografi değişiklikleri gösteren bir hastada bu tanı düşünülmelidir. Ekstübasyon evresinde meydana gelen Takotsubo sendromlu bir olgu sunmayı amaçladık.
References
- Veillet-Chowdhury M, Hassan SF, Stergiopoulos K. Takotsubo cardiomyopathy: A review. Acute Card Care 2014;16(1):15-22.
- Scantlebury DC, Prasad A. Diagnosis of Takotsubo cardiomyopathy. Circ J 2014;78(9):2129-39.
- Kurisu S, Kihara Y. Clinical management of Takotsubo cardiomyopathy. Circ J 2014;78(7):1559-66.
- Jabaudon M, Bonnin M, Bolandard F, Chanseaume S, Dauphin C, Bazin JE. Takotsubo syndrome during induction of general anaesthesia. Anaesthesia 2007;62(5):519-23.
- Lyon AR, Bossone E, Schneider B, et al. Current state of knowledge on Takotsubo syndrome: A Position Statement from the Taskforce on Takotsubo Syndrome of the Heart Failure Association of the European Society of Cardiology. Eur J Heart Fail 2016;18(1):8-27.
- Agarwal S, Bean MG, Hata JS, Castresana MR. Perioperative Takotsubo cardiomyopathy: A systematic review of published cases. Semin Cardiothorac Vasc Anesth 2017;21(4):277-90.
- Littlejohn FC, Syed O, Ornstein E, Connolly ES, Heyer EJ. Takotsubo cardiomyopathy associated with anesthesia: Three case reports. Cases J 2008;1(1):227.
- Deniz S, Bakal Ö, İnangil G, Şen H, Özkan S. Takotsubo cardiomyopathy occurring in the postoperative period. Turk J Anaesthesiol Reanim 2015;43(1):47-9.
- Küçükdurmaz Z, Karapınar H, Oflaz MB ve ark. Takotsubo kardiyomiyopatisi hakkında klinik deneyimimiz ve ülkemizden bildirilen ilk olgu serisi. Türk Kardiyol Dern Arş 2013;41(3):212-7.
- Erkal Z, Bayar N, Küçükseymen S, Çağırıcı G. Arslan Ş. Kolesistektomi operasyonu sonrası gelişen Takotsubo kardiyomiyopatisi. MN Kardiyoloji 2015;22(1):37-9.
Abstract
Takotsubo syndrome is a rare disorder which is often misdiagnosed. It is a form of transient, reversible regional wall motion abnormality in the apical to mid segments of the left ventricle and mimicking acute myocardial infarction with electrocardiographic changes. It is typically seen after a major emotional stress or serious medical illness, but could also be associated with the stress of the surgery itself. The perioperative period is well known to induce stress in patients, and this diagnosis should be considered when a patient presents with electrocardiographic changes mimicking acute myocardial infarction, especially during the general anesthesia. We aimed to present a case with Takotsubo syndrome occurring during the extubation phase.
References
- Veillet-Chowdhury M, Hassan SF, Stergiopoulos K. Takotsubo cardiomyopathy: A review. Acute Card Care 2014;16(1):15-22.
- Scantlebury DC, Prasad A. Diagnosis of Takotsubo cardiomyopathy. Circ J 2014;78(9):2129-39.
- Kurisu S, Kihara Y. Clinical management of Takotsubo cardiomyopathy. Circ J 2014;78(7):1559-66.
- Jabaudon M, Bonnin M, Bolandard F, Chanseaume S, Dauphin C, Bazin JE. Takotsubo syndrome during induction of general anaesthesia. Anaesthesia 2007;62(5):519-23.
- Lyon AR, Bossone E, Schneider B, et al. Current state of knowledge on Takotsubo syndrome: A Position Statement from the Taskforce on Takotsubo Syndrome of the Heart Failure Association of the European Society of Cardiology. Eur J Heart Fail 2016;18(1):8-27.
- Agarwal S, Bean MG, Hata JS, Castresana MR. Perioperative Takotsubo cardiomyopathy: A systematic review of published cases. Semin Cardiothorac Vasc Anesth 2017;21(4):277-90.
- Littlejohn FC, Syed O, Ornstein E, Connolly ES, Heyer EJ. Takotsubo cardiomyopathy associated with anesthesia: Three case reports. Cases J 2008;1(1):227.
- Deniz S, Bakal Ö, İnangil G, Şen H, Özkan S. Takotsubo cardiomyopathy occurring in the postoperative period. Turk J Anaesthesiol Reanim 2015;43(1):47-9.
- Küçükdurmaz Z, Karapınar H, Oflaz MB ve ark. Takotsubo kardiyomiyopatisi hakkında klinik deneyimimiz ve ülkemizden bildirilen ilk olgu serisi. Türk Kardiyol Dern Arş 2013;41(3):212-7.
- Erkal Z, Bayar N, Küçükseymen S, Çağırıcı G. Arslan Ş. Kolesistektomi operasyonu sonrası gelişen Takotsubo kardiyomiyopatisi. MN Kardiyoloji 2015;22(1):37-9.
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Case Reports |
| Authors | |
| Publication Date | June 28, 2019 |
| Submission Date | January 29, 2018 |
| Published in Issue | Year 2019Volume: 58 Issue: 2 |
