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

Autor: Sam Soon Cho, Jae Hoon Noh, Kyoung Oh Kang, Jin Sun Yoon, Rak Min Choi, Min Suk Kim, Hee Jung Jun
Rok vydání: 2019
Předmět:
Zdroj: Korean journal of anesthesiology. 56(4)
ISSN: 2005-7563
Popis: 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: OpenAIRE