Takotsubo syndrome after induction of general anesthesia: three clinical cases

Cover Page


Cite item

Full Text

Abstract

Takotsubo syndrome (stress-induced cardiomyopathy, or apical ballooning syndrome) is a  rare critical condition with approximate incidence of 0.00006% and relatively favorable prognosis. It is characterized by electrocardiographic signs of myocardial ischemia, as well as by severe left ventricular failure with intact coronary vessels. The literature on postoperative development of this disease is scarce. This paper presents three documented cases of takotsubo syndrome with favorable outcomes that developed just after the induction of general anesthesia.

About the authors

A. A. Klimov

Loginov Moscow Clinical Scientific Center, Moscow Healthcare Department

Author for correspondence.
Email: a.klimov@mknc.ru

Andrey A. Klimov - MD, Anaesthesiologist, Anaesthesiology Department No. 1.

86 Shosse Entuziastov, Moscow, 111123, Tel.: +7 (495) 304 31 54

Russian Federation

M. Yu. Buldakov

Loginov Moscow Clinical Scientific Center, Moscow Healthcare Department

Email: fake@neicon.ru

Mikhail Yu. Buldakov - MD, PhD, Head of the Anaesthesiology Department No. 3, Anaesthesiologist.

86 Shosse Entuziastov, Moscow, 111123

Russian Federation

M. V. Gritskevich

Loginov Moscow Clinical Scientific Center, Moscow Healthcare Department

Email: fake@neicon.ru

Mikhail V. Gritskevich - MD, Head of the Anaesthesiology Department No. 1, Anaesthesiologist.

86 Shosse Entuziastov, Moscow, 111123

Russian Federation

D. A. Zabaluev

Loginov Moscow Clinical Scientific Center, Moscow Healthcare Department

Email: fake@neicon.ru

Denis A. Zabaluev - MD, Anaesthesiologist, Anaesthesiology Department No. 1.

86 Shosse Entuziastov, Moscow, 111123

Russian Federation

S. A. Kamnev

Loginov Moscow Clinical Scientific Center, Moscow Healthcare Department

Email: fake@neicon.ru

Sergey A. Kamnev - MD, Anaesthesiologist, Anaesthesiology Department No. 1.

86 Shosse Entuziastov, Moscow, 111123

Russian Federation

A. A. Malakhova

Loginov Moscow Clinical Scientific Center, Moscow Healthcare Department

Email: fake@neicon.ru

Anna A. Malakhova - MD, Anaesthesiologist, Anaesthesiology Department No. 1.

86 Shosse Entuziastov, Moscow, 111123

Russian Federation

E. V. Novikova

Loginov Moscow Clinical Scientific Center, Moscow Healthcare Department

Email: fake@neicon.ru

Elena V. Novikova - MD, Anaesthesiologist, Anaesthesiology Department No. 1.

86 Shosse Entuziastov, Moscow, 111123

Russian Federation

Ya. A. Osokin

Loginov Moscow Clinical Scientific Center, Moscow Healthcare Department

Email: fake@neicon.ru

Yakov A. Osokin – Resident.

86 Shosse Entuziastov, Moscow, 111123

Russian Federation

V. V. Subbotin

Loginov Moscow Clinical Scientific Center, Moscow Healthcare Department

Email: fake@neicon.ru

Valeriy V. Subbotin - MD, PhD, Head of the Center of Anaesthesiology and Intensive Care.

86 Shosse Entuziastov, Moscow, 111123

Russian Federation

References

  1. Dote K, Sato H, Tateishi H, Uchida T, Ishihara M. Myocardial stunning due to simultaneous multivessel coronary spasms: a review of 5 cases. J Cardiol. 1991;21(2):203–14.
  2. Bybee KA, Prasad A, Barsness GW, Lerman A, Jaffe AS, Murphy JG, Wright RS, Rihal CS. Clinical characteristics and thrombolysis in myocardial infarction frame counts in women with transient left ventricular apical ballooning syndrome. Am J Cardiol. 2004;94(3):343–6. doi: 10.1016/j.amjcard.2004.04.030.
  3. Gianni M, Dentali F, Grandi AM, Sumner G, Hiralal R, Lonn E. Apical ballooning syndrome or takotsubo cardiomyopathy: a systematic review. Eur Heart J. 2006;27(13):1523–9. doi: 10.1093/eurheartj/ehl032.
  4. Donohue D, Movahed MR. Clinical characteristics, demographics and prognosis of transient left ventricular apical ballooning syndrome. Heart Fail Rev. 2005;10(4):311–6. doi: 10.1007/s10741-005-8555-8.
  5. Takigawa T, Tokioka H, Chikai T, Fukushima T, Ishizu T, Kosogabe Y. A case of undiagnosed "takotsubo" cardiomyopathy during anesthesia. Masui. 2003;52(10):1104–6.
  6. Takayama N, Iwase Y, Ohtsu S, Sakio H. "Takotsubo" cardiomyopathy developed in the postoperative period in a patient with amyotrophic lateral sclerosis. Masui. 2004;53(4):403–6.
  7. Mizutani K, Okada M. A case of intraoperative repeated coronary artery spasm with ST-segment depression. Masui. 2002;51(10):1114–6.
  8. Jensen JB, Malouf JF. Takotsubo cardiomyopathy following cholecystectomy: a poorly recognized cause of acute reversible left ventricular dysfunction. Int J Cardiol. 2006;106(3): 390–1. doi: 10.1016/j.ijcard.2004.11.040.
  9. Gavish D, Rozenman Y, Hafner R, Bartov E, Ezri T. Takotsubo cardiomyopathy after general anesthesia for eye surgery. Anesthesiology. 2006;105(3):621–3. doi: 10.1097/00000542-200609000-00029.
  10. Lentschener C, Vignaux O, Spaulding C, Bonnichon P, Legmann P, Ozier Y. Early postoperative tako-tsubo-like left ventricular dysfunction: transient left ventricular apical ballooning syndrome. Anesth Analg. 2006;103(3):580–2. doi: 10.1213/01.ane.0000226091.19987.c6.
  11. Daly MJ, Dixon LJ. Takotsubo cardiomyopathy in two preoperative patients with pain. Anesth Analg. 2010;110(3):708–11. doi: 10.1213/ane.0b013e3181a96fb9.
  12. 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. doi: 10.1111/j.1365-2044.2007.05061.x.
  13. Prasad A, Lerman A, Rihal CS. Apical ballooning syndrome (Tako-Tsubo or stress cardiomyopathy): a mimic of acute myocardial infarction. Am Heart J. 2008;155(3):408–17. doi: 10.1016/j.ahj.2007.11.008.
  14. Sharkey SW, Lesser JR, Zenovich AG, Maron MS, Lindberg J, Longe TF, Maron BJ. Acute and reversible cardiomyopathy provoked by stress in women from the United States. Circulation. 2005;111(4):472–9. doi: 10.1161/01.CIR.0000153801.51470.EB.
  15. Wittstein IS, Thiemann DR, Lima JA, Baughman KL, Schulman SP, Gerstenblith G, Wu KC, Rade JJ, Bivalacqua TJ, Champion HC. Neurohumoral features of myocardial stunning due to sudden emotional stress. N Engl J Med. 2005;352(6):539–48. doi: 10.1056/NEJMoa043046.
  16. Hessel EA 2nd. Takotsubo cardiomyopathy and its relevance to anesthesiology: a narrative review. Can J Anaesth. 2016;63(9):1059–74. doi: 10.1007/s12630-016-0680-4.
  17. Sheen MJ, Chang FL, Ho ST. Anesthetic premedication: new horizons of an old practice. Acta Anaesthesiol Taiwan. 2014;52(3):134–42. doi: 10.1016/j.aat.2014.08.001.
  18. Lee VH, Connolly HM, Fulgham JR, Manno EM, Brown RD Jr, Wijdicks EF. Tako-tsubo cardiomyopathy in aneurysmal subarachnoid hemorrhage: an underappreciated ventricular dysfunction. J Neurosurg. 2006;105(2): 264–70. doi: 10.3171/jns.2006.105.2.264.
  19. Reeder GS, Prasad A. Stress induced (Takotsubo) cardiomyopathy. Version 17.3, September 2009. UpToDate [Internet]. Available from: www.uptodate.com. Accessed January 13, 2010.
  20. Chen ZM, Pan HC, Chen YP, Peto R, Collins R, Jiang LX, Xie JX, Liu LS; COMMIT (ClOpidogrel and Metoprolol in Myocardial Infarction Trial) collaborative group. Early intravenous then oral metoprolol in 45,852 patients with acute myocardial infarction: randomised placebo-controlled trial. Lancet. 2005;366(9497):1622–32. doi: 10.1016/S0140-6736(05)67661-1.

Supplementary files

Supplementary Files
Action
1. JATS XML

Copyright (c) 2019 Klimov A.A., Buldakov M.Y., Gritskevich M.V., Zabaluev D.A., Kamnev S.A., Malakhova A.A., Novikova E.V., Osokin Y.A., Subbotin V.V.

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies