|
KMID : 0356920090560040470
|
|
Korean Journal of Anesthesiology
2009 Volume.56 No. 4 p.470 ~ p.472
|
|
|
Suspicious stress induced cardiomyopathy following hemorrhoidectomy under spinal anesthesia - A case report -
|
|
Choi Rak-Min
Kim Min-Suk
Yoon Jin-Sun
Noh Jae-Hoon
Kang Kyoung-Oh
Cho Sam-Soon
Jun Hee-Jung
|
|
|
Abstract
|
|
|
|
A 48-year-old healthy woman was admitted in our hospital for elective hemorrhoidectomy. She developed sudden headache and chest pain, and showed sinus bradycardia, arrhythmia and hypotension forty minutes after spinal anesthesia with 0.5% hyperbaric bupivacaine. An EKG showed ST depression and an transthoracic echocardiogram performed in PACU demonstrated mild LV dysfunction with hypokinesia of LV inferolateral wall. An coronary angiography on postoperative day 1 revealed normal coronary vessel and akinesia of LV inferior wall. Levels of CK-MB and Troponin I were mildly elevated. With medical therapy, the patient’s symptoms improved and recovered without any complication.
|
|
|
KEYWORD
|
|
|
Complication, Ischemic myocardial stunning, Spinal anesthesia, Stress induced cardiomyopathy
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
   
|