title: Myocardial stunning during abdominal hysterectomy in a healthy woman.
abstract: We report a case of myocardial stunning in a healthy patient. During gynecologic surgery, two brief episodes of asystole occurred. Following resuscitation there was a short period of severe hypertension and tachycardia. Electrocardiographic changes and elevations in troponin T and creatine-kinase-MB were observed. Angiography revealed normal coronary arteries and multiple areas of hypokinesis. Within 2 weeks, all abnormal values had returned to normal and the patient underwent an uneventful surgery.
authors.affiliation: Department of Anesthesiology, Mayo Clinic, Rochester, MN, USA.
authors.forename: Juraj
authors.initials: J
authors.lastname: Sprung
authors.forename: Aaron J
authors.initials: AJ
authors.lastname: West
authors.forename: Douglas R
authors.initials: DR
authors.lastname: Bacon
authors.forename: Christopher M
authors.initials: CM
authors.lastname: Burkle
authors.forename: Denis L
authors.initials: DL
authors.lastname: Bourke
mesh_terms: D000768:Anesthesia, General; D002277:Carcinoma / Q000601:surgery; D016887:Cardiopulmonary Resuscitation; D003402:Creatine Kinase / Q000097:blood; D004562:Electrocardiography; D016889:Endometrial Neoplasms / Q000601:surgery; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects*; D007431:Intraoperative Complications; D008875:Middle Aged; D017682:Myocardial Stunning / Q000209:etiology*; D020107:Troponin T / Q000097:blood
chemical_list: D020107:Troponin T; D003402:Creatine Kinase