title: [Case of Takotsubo cardiomyopathy after induction of general anesthesia].
abstract: Takotsubo cardiomyopathy is a cardiac syndrome characterized by transient left ventricular dysfunction. A 79-year-old woman was scheduled for posterior lumbar interbody fusion for spinal compression fracture. After induction of general anesthesia, her blood pressure collapsed with significant ST rise in I, aVL, V3-V5. Emergent transthoracic echocardiography revealed excessive contraction of the base and severe hypokinesis of the apex suggesting Takotsubo cardiomyopathy. Chronic hypovolemia and electrolyte disorder due to habitual glycerin enema were considered to be causes of this sudden cardiac collapse.
authors.affiliation: Department of Anesthesiology, Takarazuka Municipal Hospital, Takarazuka 665-0827.
authors.forename: Norihiko
authors.initials: N
authors.lastname: Sukenaga
authors.forename: Hideki
authors.initials: H
authors.lastname: Noma
authors.forename: Nobuyasu
authors.initials: N
authors.lastname: Komasawa
authors.forename: Takashi
authors.initials: T
authors.lastname: Sugi
authors.forename: Shirou
authors.initials: S
authors.lastname: Nakamoto
authors.forename: Takane
authors.initials: T
authors.lastname: Tokuoka
authors.forename: Hideki
authors.initials: H
authors.lastname: Kakiuchi
mesh_terms: D000368:Aged; D000768:Anesthesia, General; D002908:Chronic Disease; D004452:Echocardiography; D004733:Enema / Q000009:adverse effects; D005260:Female; D050815:Fractures, Compression / Q000601:surgery; D005990:Glycerol / Q000009:adverse effects; D006801:Humans; D020896:Hypovolemia / Q000209:etiology; D007431:Intraoperative Complications / Q000000981:diagnostic imaging / Q000209:etiology*; D016103:Spinal Fractures / Q000601:surgery; D013123:Spinal Fusion; D054549:Takotsubo Cardiomyopathy / Q000000981:diagnostic imaging / Q000209:etiology*; D014883:Water-Electrolyte Imbalance / Q000209:etiology
chemical_list: D005990:Glycerol