Suspicious stress induced cardiomyopathy following hemorrhoidectomy under spinal anesthesia: A case report.

Autor:	Choi RM; Department of Anesthesiology and Pain Medicine, Korean Veterans Hospital, Seoul, Korea. medisun@hanamil.net., Yoon JS; Department of Anesthesiology and Pain Medicine, Korean Veterans Hospital, Seoul, Korea. medisun@hanamil.net., Noh JH; Department of Anesthesiology and Pain Medicine, Korean Veterans Hospital, Seoul, Korea. medisun@hanamil.net., Kang KO; Department of Anesthesiology and Pain Medicine, Korean Veterans Hospital, Seoul, Korea. medisun@hanamil.net., Kim MS; Department of Anesthesiology and Pain Medicine, Korean Veterans Hospital, Seoul, Korea. medisun@hanamil.net., Cho SS; Department of Anesthesiology and Pain Medicine, Korean Veterans Hospital, Seoul, Korea. medisun@hanamil.net., Jun HJ; Department of Anesthesiology and Pain Medicine, Korean Veterans Hospital, Seoul, Korea. medisun@hanamil.net.
Jazyk:	angličtina
Zdroj:	Korean journal of anesthesiology [Korean J Anesthesiol] 2009 Apr; Vol. 56 (4), pp. 470-473.
DOI:	10.4097/kjae.2009.56.4.470
Abstrakt:	A 48-year-old healthy woman was admitted in our hospital for elective hemorrhoidectomy. She developed sudden headache and chest pain, and showed sinus bradycardia, arrhythmia and hypotension forty minutes after spinal anesthesia with 0.5% hyperbaric bupivacaine. An EKG showed ST depression and an transthoracic echocardiogram performed in PACU demonstrated mild LV dysfunction with hypokinesia of LV inferolateral wall. An coronary angiography on postoperative day 1 revealed normal coronary vessel and akinesia of LV inferior wall. Levels of CK-MB and Troponin I were mildly elevated. With medical therapy, the patient's symptoms improved and recovered without any complication.
Databáze:	MEDLINE
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