title: [Anesthetic management of a patient before the onset and during the healing stages of Takotsubo cardiomyopathy].
abstract: We experienced anesthetic management of a patient undergoing surgeries for bilateral femoral trochanter fractures before the onset and during the healing stages of takotsubo cardiomyopathy (TCM). While performing the surgery before the onset of TCM, we administered 0.5% intrathecal isobaric bupivacaine 15 mg and the procedure was completed uneventfully. On the other hand, while performing the surgery during the healing stages of TCM, vasopressor infusion was required for treating hypotension with extrasystoles despite administrating only 14.5 mg of 0.05% intrathecal isobaric bupivacaine. It is therefore suggested that cardiac function during the healing stages of TCM was more compromised than before the onset of the disease.
authors.affiliation: Department of Anesthesiology, Nakadori General Hospital, Akita 010-8577.
authors.forename: Keiko
authors.initials: K
authors.lastname: Nozaka
authors.forename: Seiko
authors.initials: S
authors.lastname: Matsumoto
authors.forename: Natsuko
authors.initials: N
authors.lastname: Yamamoto
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Komatsu
mesh_terms: D000369:Aged, 80 and over; D000775:Anesthesia, Spinal; D002045:Bupivacaine; D005260:Female; D005264:Femoral Fractures / Q000150:complications* / Q000601:surgery*; D006801:Humans; D007022:Hypotension / Q000188:drug therapy; D007431:Intraoperative Complications / Q000188:drug therapy; D019990:Perioperative Care; D010656:Phenylephrine / Q000008:administration & dosage; D054549:Takotsubo Cardiomyopathy / Q000150:complications*; D014662:Vasoconstrictor Agents / Q000008:administration & dosage
chemical_list: D014662:Vasoconstrictor Agents; D010656:Phenylephrine; D002045:Bupivacaine