title: [Reverse Takotsubo syndrome pattern induced by local anaesthesia].
abstract: We report a new entity of the Takotsubo syndrome. While the classic form of Takotsubo syndrome presents as transient apical ballooning, in reverse Takotsubo syndrome we see just the opposite, i.e. transient dilatation of the basal segments and a hyperkinetic apex. The reverse Takotsubo phenomenon was seen in a 36-year-old female patient who had an injection of lidocaine with adrenaline for plastic surgery of the ear. Coronary artery disease was excluded as the cause of this patient's prolonged chest pain and troponin positivity. Echocardiography revealed akinesis of the basal segments and a hyperkinetic apex. The wall motion abnormalities resolved in three days.
authors.affiliation: Budai Irgalmasrendi Kórház Kardiológia Budapest Arpád fejedelem útja 7. 1023. tomcsanyi.janos@t-online.hu
authors.forename: János
authors.initials: J
authors.lastname: Tomcsányi
authors.forename: Hrisula
authors.initials: H
authors.lastname: Arabadzisz
authors.forename: Tamás
authors.initials: T
authors.lastname: Frész
authors.forename: Balázs
authors.initials: B
authors.lastname: Sármán
authors.forename: Béla
authors.initials: B
authors.lastname: Bózsik
authors.forename: András
authors.initials: A
authors.lastname: Zsoldos
authors.forename: Tamás
authors.initials: T
authors.lastname: Simor
mesh_terms: D000328:Adult; D000772:Anesthesia, Local / Q000009:adverse effects* / Q000379:methods; D000779:Anesthetics, Local / Q000008:administration & dosage / Q000009:adverse effects*; D004452:Echocardiography; D004562:Electrocardiography; D004837:Epinephrine / Q000009:adverse effects; D005260:Female; D006321:Heart / Q000187:drug effects* / Q000503:physiopathology*; D006801:Humans; D007267:Injections; D008012:Lidocaine / Q000009:adverse effects; D008279:Magnetic Resonance Imaging; D019651:Plastic Surgery Procedures; D054549:Takotsubo Cardiomyopathy / Q000175:diagnosis / Q000503:physiopathology*; D014662:Vasoconstrictor Agents / Q000009:adverse effects
chemical_list: D000779:Anesthetics, Local; D014662:Vasoconstrictor Agents; D008012:Lidocaine; D004837:Epinephrine