title: Sinus surgery complicated by ventricular fibrillation in a young patient: Inverted (reverse) Takotsubo cardiomyopathy.
abstract: Takotsubo cardiomyopathy (TTC), also known as left ventricular apical ballooning syndrome or stress cardiomyopathy, is characterized by transient left ventricular systolic dysfunction and the absence of obstructive lesion in the epicardial coronary arteries. The most common presentation is acute substernal chest pain, although occasionally dyspnea and syncope, and rarely shock with ST-segment elevation and elevated cardiac biomarkers have been observed. Inverted (reverse) TTC is a rare pattern characterized hypokinesis of the basal and midventricular segments. Presently described was case of a 27-year-old woman with ventricular fibrillation following endoscopic nasal sinus surgery.
authors.affiliation: Department of Cardiology, Medipol University Faculty of Medicine, İstanbul, Turkey.
authors.forename: Gültekin Günhan
authors.initials: GG
authors.lastname: Demir
authors.affiliation: Department of Cardiology, Medipol University Faculty of Medicine, İstanbul, Turkey.
authors.forename: Gamze
authors.initials: G
authors.lastname: Babur Güler
authors.affiliation: Department of Cardiology, Medipol University Faculty of Medicine, İstanbul, Turkey.
authors.forename: Ekrem
authors.initials: E
authors.lastname: Güler
authors.affiliation: Department of Cardiology, Medipol University Faculty of Medicine, İstanbul, Turkey.
authors.forename: Hacı Murat
authors.initials: HM
authors.lastname: Güneş
authors.affiliation: Department of Cardiology, Medipol University Faculty of Medicine, İstanbul, Turkey.
authors.forename: Filiz
authors.initials: F
authors.lastname: Kızılırmak
mesh_terms: D000328:Adult; D004452:Echocardiography; D005260:Female; D006801:Humans; D007431:Intraoperative Complications / Q000175:diagnosis / Q000503:physiopathology; D010256:Paranasal Sinuses / Q000601:surgery*; D012852:Sinusitis / Q000601:surgery; D054549:Takotsubo Cardiomyopathy / Q000175:diagnosis / Q000503:physiopathology; D014693:Ventricular Fibrillation / Q000175:diagnosis / Q000503:physiopathology