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KMID : 0356920080540050581
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Korean Journal of Anesthesiology
2008 Volume.54 No. 5 p.581 ~ p.584
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Stress Induced Cardiomyopathy after Local Epinephrine Use - A case report -
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Cho Choon-Kyu
Jung Sung-Mee
Kim Joong-Yeoun
Kwon Hee-Uk
Kang Po-Soon
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Abstract
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Epinephrine is frequently used to control local bleeding during surgery. However, it may be associated with complications, such as pulmonary edema, reversible cardiomyopathy, and cardiac arrest. We encountered a case of stress induced cardiomyopathy (SIC) after local epinephrine instillation. The SIC is manifested with typical left ventricular apical ballooning and clinical symptoms of a myocardial infarction without coronary stenosis. Although its prognosis is more favorable than a myocardial infarction, anesthesiologists need to be aware of the possible adverse effects of local epinephrine infiltration.
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KEYWORD
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stress induced cardiomyopathy, epinephrine
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