STRUŽKOVÁ, Klára, Petr ŠTOURAČ, Jan KAŇOVSKÝ, Ivo KŘIKAVA, Michaela ŤOUKÁLKOVÁ and Pavel ŠEVČÍK. An unusual reason for severe bradycardia leading to cardiac arrest during general anaesthesia: A case report. Biomedical Papers of the Faculty of Medicine of Palacký University. Olomouc: Palacký University, 2014, vol. 158, No 4, p. 659-661. ISSN 1213-8118. doi:10.5507/bp.2013.005.
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Basic information
Original name An unusual reason for severe bradycardia leading to cardiac arrest during general anaesthesia: A case report
Name in Czech Neobvyklá příčina těžké bradykardie vedoucí k srdeční zástavě v průběhu celkové anestezie: kazuistika
Authors STRUŽKOVÁ, Klára (203 Czech Republic), Petr ŠTOURAČ (203 Czech Republic, guarantor, belonging to the institution), Jan KAŇOVSKÝ (203 Czech Republic, belonging to the institution), Ivo KŘIKAVA (203 Czech Republic, belonging to the institution), Michaela ŤOUKÁLKOVÁ (203 Czech Republic) and Pavel ŠEVČÍK (203 Czech Republic, belonging to the institution).
Edition Biomedical Papers of the Faculty of Medicine of Palacký University, Olomouc, Palacký University, 2014, 1213-8118.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30000 3. Medical and Health Sciences
Country of publisher Czech Republic
Confidentiality degree is not subject to a state or trade secret
WWW URL
Impact factor Impact factor: 1.200
RIV identification code RIV/00216224:14110/14:00074667
Organization unit Faculty of Medicine
Doi http://dx.doi.org/10.5507/bp.2013.005
UT WoS 000347173200028
Keywords (in Czech) Takotsubo kardiomyopatie; srdeční zástava; levosimendan; celková anestezie; těžká bradykardie
Keywords in English Takotsubo cardiomyopathy; cardiac arrest; levosimendan; general anaesthesia; severe bradycardia
Tags EL OK
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Changed by Changed by: Soňa Böhmová, učo 232884. Changed: 11. 3. 2015 11:26.
Abstract
Takotsubo Cardiomyopathy also known as transient balooning syndrome is an increasingly reported phenomenon characterized by acute reversible apical or midventricular dysfunction. This stress- induced cardiomyopathy mimics myocardial infarction, but without significant coronary artery disease, and rarely presents in perioperative period. We report a case of postmenopausal woman scheduled to undergo elective cholecystectomy, with no history of coronary artery disease. She presented perioperatively with Takotsubo Cardiomyopathy by unique manifestation- asystoly. This uncommon cause of cardiac arrest during anaesthesia was possibly induced by preoperative emotional stress. There was full recovery thanks to intensive management. In Takotsubo Cardiomyopathy related cardiogenic shock we used the calcium sensitiser levosimendan successfully. Takotsubo cardiomyopathy has an excellent long-term prognosis and nearly all patients have full recovery of left ventricular function. We emphasize the importance of heavy premedication by stress compromised patients and the need of sufficiently deep anaesthesia and analgesia during surgeries.
Abstract (in Czech)
V této kazuistice demostrujeme neobvyklou příčinu těžké bradykardie z důvodu Takotsubo kardiomyopatie. Dále poukazujeme na možné použití levosimendanu v této indikaci.
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