KMID : 0361020150580060433
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Korean Journal of Otolaryngology - Head and Neck Surgery 2015 Volume.58 No. 6 p.433 ~ p.437
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Two Case of Stress Induced Cardiomyopathy after Injection of Epinephrine during Middle Ear Surgery
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Na Hyung-Gyun
Song Si-Youn Kim Yong-Dae Bae Chang-Hoon
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Abstract
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Epinephrine is a common use to control bleeding for wide surgeon¡¯s range of vision during surgery. However, it may be occurred with some major complications such as reversible cardiomyopathy, pulmonary edema, and cardiac arrest. Stress-induced cardiomyopathy (SIC) is a reversible cardiomyopathy, which is related with sudden surge of catecholamine such as epinephrine, and increase of physical activity and emotional stress. It has been postulated that SIC is a relatively uncommon syndrome with difficult definition. But recently SIC is an increasingly recognized disease entity and is accepted as a unique form of reversible cardiomyopathy. However, SIC rarely is occurred when standard dose of epinephrine is used during a surgery under general anesthesia. Therefore, we presented two patients with SIC after subcutaneous injection of epinephrine during middle ear surgery.
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KEYWORD
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Cardiomyopathy, Ear surgery, Epinephrine, Stress
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