Management of Takotsubo cardiomyopathy before non-cardiac surgery: A case report

Takotsubo cardiomyopathy (left ventricular apical balloon syndrome) is characterized by transient apical ballooning, leading to apical systolic dysfunction. This syndrome typically mimics acute coronary syndrome in terms of electrocardiographic changes and cardiac enzyme release. Although its exact pathophysiology is still unclear, it is thought to be due to stress related to the catecholaminergic discharge. It is usually seen on postmenopausal women. Herein, we report a 78-year-old female patient with Takotsubo cardiomyopathy admitted to the orthopedic surgery clinic due to a femoral fracture and had no complication after surgery.

Kardiyak dışı cerrahi öncesinde Takotsubo kardiyomiyopatisi yönetimi: Olgu sunumu

Takotsubo kardiyomiyopatisi (sol ventrikül apikal balonlaşma sendromu), apikal sistolik disfonksiyona yol açan geçici apikal balonlaşma ile karakterizedir. Bu sendrom genellikle elektrokardiyografik değişiklikler ve kardiyak enzim salınımı açısından akut koroner sendromu taklit eder. Patofizyolojisi kesin olarak bilinmemekle birlikte, stres kaynaklı katekolaminerjik deşarja bağlı olduğu düşünülmektedir. Genellikle postmenopozal kadınlarda gözlenir. Bu yazıda, femur kırığı nedeniyle ortopedik cerrahi kliniğine başvuran ve cerrahi sonrası herhangi bir komplikasyon gözlenmeyen Takotsubo kardiyomiyopatili 78 yaşında bir kadın olgu sunuldu.

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