The case is here presented of a 37-year old female with obstetric complaints who underwent surgery for dermoid cysts and developed sudden shock during recovery from general anesthesia. The aim of this case presentation was to share the importance of premedication when it was thought to be related to stress in the etiopathogenesis and the management of this Takotsubo (TC) case, which started with clinical sudden onset of a shock table during recovery from general anesthesia following surgery. In cases of suddenly developing shock, TC must be considered in the differential diagnosis.
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Mallick PN, Upadhaya SP, Das AK, et al. Takotsubo cardiomyopathy mimicking postoperative myocardial infarction in a young healthy patient. Indian J Anaesth. 2013;57(2):193-5.
Cebelin MS, Hirsch CS. Human stress cardiomyopathy. Myocardiallesions in victims of homicidal assaults without internalinjuries. Hum Pathol. 1980;11(2):123-32.
Dote K, Sato H, Tateishi H, et al. Myocardialstunning due to simultaneous multivesselcoronaryspasms: a review of 5 cases. [Article in Japanese] J Cardiol1991;21(2):203-14.
Gianni M, Dentali F, Grandi AM, et al. Apical ballooning syndrome or takotsubocardiomyopathy:a systematic review. Eur Heart J. 2006;27(13):1523-9.
Maekawa Y, Kawamura A, Yuasa S, et al. Directcomparison of Takotsubo cardiomyopathy between Japanand USA: 3-year follow-up study. Intern Med. 2012;51:257-62.
Deniz S, Bakal Ö, İnangil G, et al. Postoperatif evrede gelişen bir takatusubo kardiyomiyopatisi. Turk J Anaesth Reanim. 2015;43:47-9.
Demir G, Güler G, Güler E, et al. Sinus surgery complicated by ventricular fibrillation in a young patient: Inverted (reverse) Takotsubo cardiomyopathy. Turk Kardiyol Dern Ars. 2016;44(5):418-22.
Eshtehardi P, Koestner SC, Adorjan P, et al. Transient apical ballooning syndrome-clinical characteristics, ballooning pattern, and long-term followup in a Swiss population. Int J Cardiol. 2009;135(3):370-5.
Bybee KA, Prasad A, Barsness GW, et al. Clinical characteristics and thrombolysis inmyocardial infarction frame counts in women with transient left ventricular apical ballooning syndrome. Am J Cardiol. 2004;94(3):343-6.
Pernicova I, Garg S, Bourantas CV, et al. Takotsubo cardiomyopathy: a review of the literature. Angiology. 2010;61(2):166-73.
Bybee KA, Kara T, Prasad A, et al. Systematic review: transient left ventricular apical ballooning: a syndrome that mimics ST-segment elevation myocardial infarction. Ann Intern Med. 2004;141(11):858-65.
akei Y, Tomiyama H, Tanaka N, et al. Close relationship between sympathetic activation and coronary microvascular dysfunction during acute hyperglycemia in subjects with atherosclerotic risk factors. Circ J. 2007;71(2):202-6.
Kume T, Akasaka T, Kawamoto T, et al. Assessment of coronary microcirculation inpatients with takotsubo-like left ventricular dysfunction. Circ J. 2005;69(8):934-9.
Prasad A. Apical ballooning syndrome: an important differential diagnosis of acute myocardial infarction. Circulation. 2007;115(5):56-9.
Syed AS, Khalid U. Takotsubo cardiomyopathy vs acute myocardial infarction: diagnostic utility of subtle ECG differences. Int J Emerg Med. 2011;4:17.
Ogura R, Hiasa Y, Takahashi T, et al. Specific findings of the standard 12lead ECG in patients with ‘Takotsubo’ cardiomyopathy: comparison with the findings of acute anterior myocardial infarction. Circ J. 2003;67(8):687-90.
Shimizu M, Kato Y, Masai H, et al. Recurrent episodes of takotsubo-like transient left ventricular ballooning occurring in different regions: a case report. [Article in Japanese] J Cardiol 2006;48(2):101-7.
Regnante RA, Zuzek RW, Weinsier SB, et al. Clinical characteristics and fouryear outcomes of patients in the Rhode Island Takotsubo Cardiomyopathy Registry. Am J Cardiol 2009;103(7):1015-9.
Zeb M, Sambu N, Scott P, et al. Takotsubo cardiomyopathy: a diagnostic challenge. Postgrad Med J 2011;87(1023):51-9.