Perioperative Takotsubo syndrome: case report.
DOI:
https://doi.org/10.30445/rear.v13i11.1028Keywords:
Takotsubo Cardiomyopathy, Perioperative Period, Anesthesia, SurgeryAbstract
Up to 10% of patients with ST-segment elevation myocardial infarction do not have obstructive coronary lesions, MINOCA, from the acronym in English. The diagnosis of MINOCA is functional and includes causes such as type II acute myocardial infarction, dissection, coronary spasm and embolism, myocarditis, and Takotsubo syndrome. Takotsubo syndrome is a pathology with its own entity, characterized by a transient and reversible dysfunction of the left ventricle without coronary obstructive lesions. It usually has triggers that cause an excess of plasma catecholamines. Its form of presentation during the intervention can be in the form of hypotension, shock or arrhythmias. In the acute phase it can be serious and present serious complications. The first-line imaging test is echocardiography. Management is symptomatic of the complications that may appear, avoiding catecholaminergic drugs.
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