RESUMO
La cardiomiopatía de Takotsubo forma parte del conjunto de enfermedades llamadas cardiomiopatías inducidas por estrés. Su presentación clínica habitual es indistinguible de un síndrome coronario agudo. Sin embargo, es importante una sospecha diagnóstica temprana, pues puede comenzar en forma de shock cardiogénico en aproximadamente un 8% de los casos, con tasas de morbimortalidad comparables a las del síndrome coronario agudo. Por este motivo, a pesar de que sea una patología relativamente infrecuente, el ámbito quirúrgico siempre supone un factor de estrés que puede actuar como factor desencadenante de esta patología. A continuación se presenta un caso de comienzo de una cardiomiopatía de Takotsubo en forma de shock cardiogénico durante el ingreso en nuestra Unidad de Reanimación Postoperatoria
Takotsubo cardiomyopathy is part of the group of diseases called stress-induced cardiomyopathies. Its usual clinical presentation is indistinguishable from an acute coronary syndrome. However, early diagnosis is important, as it may debut as a cardiogenic shock in approximately 8% of cases, with morbidity and mortality rates comparable to those of acute coronary syndrome. For this reason, although it is a relatively infrequent condition, the perioperative period is a stress factor that can act as a trigger of this pathology. A case is presented of the onset of Takotsubo cardiomyopathy as a cardiogenic shock during admission in a Postoperative Recovery Unit
Assuntos
Humanos , Feminino , Idoso , Adrenalectomia/efeitos adversos , Cardiomiopatia de Takotsubo/complicações , Choque Cardiogênico/etiologia , Complicações Pós-Operatórias , Estresse Psicológico/complicações , Hipotensão/complicações , Neoplasias das Glândulas Suprarrenais/cirurgiaRESUMO
Takotsubo cardiomyopathy is part of the group of diseases called stress-induced cardiomyopathies. Its usual clinical presentation is indistinguishable from an acute coronary syndrome. However, early diagnosis is important, as it may debut as a cardiogenic shock in approximately 8% of cases, with morbidity and mortality rates comparable to those of acute coronary syndrome. For this reason, although it is a relatively infrequent condition, the perioperative period is a stress factor that can act as a trigger of this pathology. A case is presented of the onset of Takotsubo cardiomyopathy as a cardiogenic shock during admission in a Postoperative Recovery Unit.
