Key result
Local instillation of epinephrine during surgery triggered stress-induced cardiomyopathy characterized by left ventricular apical ballooning and reversible cardiac dysfunction in a 51-year-old woman.
Case Report (n=1)
No
Local epinephrine infiltration during surgery can trigger stress-induced cardiomyopathy, highlighting the need for awareness among anesthesiologists.
May alert anesthesiologists to epinephrine as a rare trigger; hypothesis-generating and requires confirmation in larger studies.
Epinephrine is frequently used to control local bleeding during surgery. However, it may be associated with complications, such as pulmonary edema, reversible cardiomyopathy, and cardiac arrest. We encountered a case of stress induced cardiomyopathy (SIC) after local epinephrine instillation. The SIC is manifested with typical left ventricular apical ballooning and clinical symptoms of a myocardial infarction without coronary stenosis. Although its prognosis is more favorable than a myocardial infarction, anesthesiologists need to be aware of the possible adverse effects of local epinephrine infiltration. (Korean J Anesthesiol 2008; 54: 581∼4)
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Cho et al. (2008) conducted a case report in Stress-induced cardiomyopathy (n=1). Local epinephrine was evaluated. Local instillation of epinephrine during surgery triggered stress-induced cardiomyopathy characterized by left ventricular apical ballooning and reversible cardiac dysfunction in a 51-year-old woman.
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