Why the study?
Takotsubo cardiomyopathy is a reversible left ventricular dysfunction after emotional or physical stress that can occur following iatrogenic stressors like anesthesia or surgery.
This case report highlights that Takotsubo cardiomyopathy can be triggered by iatrogenic stressors such as anesthesia and surgery.
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TCM warrants perioperative awareness; case reports extend iatrogenic triggers but leave open systematic prevention.
Stress-induced cardiomyopathy, also known as takotsubo cardiomyopathy (TCM), is a type of reversible left ventricular dysfunction that occurs after emotional or physical stress and manifests as chest pain, electrocardiographic changes mimicking myocardial ischemia, cardiac enzyme elevation, transient left ventricular dysfunction involving mid and apical segments and normal or near-normal coronary angiography. This syndrome could happen after iatrogenic stressors like anesthesia or surgery. We hereby present two cases of TCM after anesthesia and surgery. In both cases, clinical, electrocardiographic, echocardiographic, and angiographic findings are employed to confirm this diagnosis.
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Hosseini et al. (2022) studied this question.
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