| 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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@article{1092009,
author = {Stružková, Klára and Štourač, Petr and Kaňovský, Jan and Křikava, Ivo and Ťoukálková, Michaela and Ševčík, Pavel},
article_location = {Olomouc},
article_number = {4},
doi = {http://dx.doi.org/10.5507/bp.2013.005},
keywords = {Takotsubo cardiomyopathy; cardiac arrest; levosimendan; general anaesthesia; severe bradycardia},
language = {eng},
issn = {1213-8118},
journal = {Biomedical Papers of the Faculty of Medicine of Palacký University},
title = {An unusual reason for severe bradycardia leading to cardiac arrest during general anaesthesia: A case report},
url = {http://biomed.papers.upol.cz/magno/bio/2013/mn2.php},
volume = {158},
year = {2014}
}
TY - JOUR
ID - 1092009
AU - Stružková, Klára - Štourač, Petr - Kaňovský, Jan - Křikava, Ivo - Ťoukálková, Michaela - Ševčík, Pavel
PY - 2014
TI - An unusual reason for severe bradycardia leading to cardiac arrest during general anaesthesia: A case report
JF - Biomedical Papers of the Faculty of Medicine of Palacký University
VL - 158
IS - 4
SP - 659-661
EP - 659-661
PB - Palacký University
SN - 12138118
KW - Takotsubo cardiomyopathy
KW - cardiac arrest
KW - levosimendan
KW - general anaesthesia
KW - severe bradycardia
UR - http://biomed.papers.upol.cz/magno/bio/2013/mn2.php
N2 - 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.
ER -
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. \textit{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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