Takotsubo cardiomyopathy and anaesthesia: case report and review of the literature

Rev Esp Anestesiol Reanim. 2014 May;61(5):284-9. doi: 10.1016/j.redar.2013.04.014. Epub 2013 Jun 21.

Abstract

Takotsubo cardiomyopathy is an acute syndrome characterized by cardiac failure from disturbances in the contractility of the left ventricle. It is presumably caused by sympathetic over stimulation. We describe a case of postoperatively developed Takotsubo cardiomyopathy in a 69-year-old female. The syndrome developed in connection with awareness during complete residual paralysis. The literature on this syndrome is reviewed and implications for anaesthesia described.

Keywords: Cardiomyopathy; Déficit de seudocolinesterasa; Miocardiopatía; Pseudocholinesterase deficiency; Tako-tsubo; Takotsubo.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Aged
  • Anesthesia, Intravenous*
  • Apnea / complications
  • Apnea / diagnosis*
  • Apnea / genetics
  • Butyrylcholinesterase / deficiency*
  • Butyrylcholinesterase / genetics
  • Delayed Emergence from Anesthesia / complications*
  • Female
  • Humans
  • Intraoperative Awareness / etiology
  • Intraoperative Awareness / physiopathology*
  • Isoquinolines / adverse effects*
  • Isoquinolines / pharmacokinetics
  • Laryngeal Diseases / surgery
  • Metabolism, Inborn Errors / complications
  • Metabolism, Inborn Errors / diagnosis*
  • Metabolism, Inborn Errors / genetics
  • Mivacurium
  • Myocardial Infarction / diagnosis
  • Neuromuscular Nondepolarizing Agents / adverse effects*
  • Neuromuscular Nondepolarizing Agents / pharmacokinetics
  • Polyps / surgery
  • Postoperative Complications / etiology*
  • Takotsubo Cardiomyopathy / diagnosis
  • Takotsubo Cardiomyopathy / etiology*
  • Takotsubo Cardiomyopathy / physiopathology
  • Vocal Cords / surgery

Substances

  • Isoquinolines
  • Neuromuscular Nondepolarizing Agents
  • Mivacurium
  • Butyrylcholinesterase

Supplementary concepts

  • Butyrylcholinesterase deficiency