Why the study?
There is limited extant literature on the clinical aspects of perioperative Takotsubo syndrome.
What are the clinical characteristics and outcomes of perioperative Takotsubo syndrome?
What are the clinical characteristics and outcomes of perioperative Takotsubo syndrome?
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Perioperative Takotsubo syndrome often presents as unexplained cardiogenic shock or acute heart failure shortly after surgery, with a higher prevalence in premenopausal women and significant in-hospital mortality despite rapid improvement in systolic function.
This study aims to investigate perioperative Takotsubo syndrome (TTS) given the limited extant literature on its clinical aspects. Examining 11 patients who underwent in-hospital surgeries, we find TTS onset typically occurring 9 hours post-surgery, predominately presenting as unexplained cardiogenic shock, acute heart failure or chest pain. Echocardiographic assessments revealed prevalent features including apical ballooning and reduced left ventricle ejection fraction (36.3 ± 7.3%). Despite an improvement in systolic function observed within a week, in-hospital mortality remains significant. This research underscores distinctive characteristics in perioperative TTS, such as higher prevalence in premenopausal women, frequent association with cesarean sections, and elevated mortality rates.
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Bouchaala et al. (2024) studied this question.
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