Key result
Induction of general anaesthesia triggered Takotsubo syndrome presenting as ventricular tachycardia and heart failure in a 77-year-old woman, with complete recovery after 8 days.
Case Report (n=1)
Highlights the importance of recognizing Takotsubo syndrome as a potential cause of acute cardiac dysfunction during stressful situations such as the induction of general anaesthesia.
May warrant vigilance for Takotsubo syndrome during anaesthesia induction; leaves open incidence and prevention strategies.
A 77-year-old female was admitted in our hospital for uterine prolapse surgery. She developed ventricular tachycardia during induction of general anaesthesia and after initial symptomatic measures, she was transferred to the coronary care unit. Heart failure persisted and electrocardiographic changes mimicking acute myocardial infarction appeared. Coronary angiography was normal and left ventriculography revealed akinesis of the apical region of the left ventricle and apical ballooning during systole, with relative sparing of the base of the heart. Complete recovery of left ventricular function occurred 8 days after the initial onset of symptoms. A diagnosis of Takotsubo syndrome was made on the basis of consistent clinical and laboratory findings, typical echocardiography and angiography findings, and reversible course. This case emphasises the importance of being aware of uncommon causes of cardiac dysfunction in stressful situations, especially during induction of general anaesthesia.
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Jabaudon et al. (2007) conducted a case report in Takotsubo syndrome (n=1). Induction of general anaesthesia was evaluated. Induction of general anaesthesia triggered Takotsubo syndrome presenting as ventricular tachycardia and heart failure in a 77-year-old woman, with complete recovery after 8 days.
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