Tako-tsubo-like left ventricular dysfunction can occur postoperatively and may account for some postoperative T-wave morphology changes.
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Postoperative Takotsubo-like LV dysfunction merits consideration; this single case leaves open its prevalence and link to T-wave changes.
In Brief We diagnosed transient left ventricular apical wall motion abnormalities after surgery in a patient presenting with a clinical and electrocardiographic picture of acute myocardial infarction in the absence of significant coronary disease. These angiographic, clinical, and electrocardiographic features satisfied the criteria of the recently described tako-tsubo-like left ventricular dysfunction. IMPLICATIONS: Tako-tsubo-like left ventricular dysfunction was diagnosed after surgery. Whether this dysfunction partly accounts for changes in T-wave morphology, reported to average 19% after anesthesia and noncardiac surgery, warrants further evaluation.
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Lentschener et al. (2006) studied this question.
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