Key result
General anesthesia for total gastrectomy linked to fully reversible stress-induced cardiomyopathy.
Why the study?
Stress-induced cardiomyopathy is a transient left ventricular dysfunction caused by stress and surgery, with clinical features similar to myocardial ischemia but without coronary artery lesions.
Case Report (n=1)
No
Highlights the potential for stress-induced (takotsubo) cardiomyopathy to occur as a complication following general anesthesia and major surgery such as total gastrectomy.
Answers are grounded in this paper and cite their sources.
Rare perioperative complication warrants awareness but should not change practice; leaves open anesthesia-specific triggers for stress cardiomyopathy.
Stress-induced cardiomyopathy, which is also known as takotsubo cardiomyopathy, is a cardiac syndrome of a transient, reversible left ventricular dysfunction that is caused by emotional and/or physical stress and surgery. Its clinical manifestations are similar to those of myocardial ischemia without a coronary artery lesion. Stress-induced cardiomyopathy is more common in middle-aged women, and the prognosis is favorable. We report the case of a 50-year-old female patient who underwent a total gastrectomy and developed stress-induced cardiomyopathy after surgery.
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Park et al. (2010) conducted a case report in Stress-induced cardiomyopathy (n=1). General anesthesia and total gastrectomy was evaluated on Development and resolution of stress-induced cardiomyopathy. A 50-year-old female patient developed stress-induced cardiomyopathy following general anesthesia for total gastrectomy, which fully resolved with conservative management.
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