Variants of Takotsubo syndrome in the perioperative period: A review of potential mechanisms and anaesthetic implications.
Anaesth Crit Care Pain Med
; 39(5): 647-654, 2020 10.
Article
em En
| MEDLINE
| ID: mdl-32920217
ABSTRACT
Takotsubo syndrome (TS) is a condition of transient cardiac dysfunction that develops in the setting of abrupt sympathetic stimulation. Although classically identified by ballooning of the apical segment, TS can also present in atypical forms with abnormalities of the basal, mid-ventricular, or other focal segments. In the perioperative setting, anaesthetic effects and physiologic perturbations from surgery can further confound the diagnosis. We present a narrative review of the most recent evidence for underlying pathophysiologic mechanisms of the variable ballooning patterns and highlight important anaesthetic considerations in the diagnosis and management of these patients.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Cardiomiopatia de Takotsubo
/
Anestésicos
Tipo de estudo:
Diagnostic_studies
/
Prognostic_studies
Limite:
Humans
Idioma:
En
Revista:
Anaesth Crit Care Pain Med
Ano de publicação:
2020
Tipo de documento:
Article