Myocardial stunning during abdominal hysterectomy in a healthy woman.
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.
Sprung
Juraj
J
Department of Anesthesiology, Mayo Clinic, Rochester, MN, USA.
West
Aaron J
AJ
Bacon
Douglas R
DR
Burkle
Christopher M
CM
Bourke
Denis L
DL
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
D020107:Troponin T; D003402:Creatine Kinase