A Case of Takotsubo Cardiomyopathy after Injection of a Local Anesthetic Containing Epinephrine

  • TSURU Hiroko
    Department of Dermatology, Graduate School of Medical Sciences, Kyushu University
  • UCHI Hiroshi
    Department of Dermatology, Graduate School of Medical Sciences, Kyushu University
  • ITO Reiko
    Department of Dermatology, Graduate School of Medical Sciences, Kyushu University
  • NAKANO Misa
    Department of Dermatology, Graduate School of Medical Sciences, Kyushu University
  • KODA Futoshi
    Department of Dermatology, Graduate School of Medical Sciences, Kyushu University
  • MOROI Yoichi
    Department of Dermatology, Graduate School of Medical Sciences, Kyushu University
  • FURUE Masutaka
    Department of Dermatology, Graduate School of Medical Sciences, Kyushu University

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Other Title
  • 術中にたこつぼ心筋症を発症した 1 例
  • 症例 術中にたこつぼ心筋症を発症した1例
  • ショウレイ ジュッチュウ ニ タコツボシンキンショウ オ ハッショウ シタ 1レイ

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Abstract

A 42-year-old woman developed transient high blood pressure and tachycardia soon after an injection of local anesthetic containing epinephrine during an operation under general anesthesia. Echocardiographic examination revealed a characteristic impaired left ventricular systolic function, which was thus diagnosed as Takotsubo cardiomyopathy. Dopamine was administered for several days because of sustained low blood pressure after the operation, but she gradually recovered without leaving a sequela. Even dermatologists should know that local anesthetic containing epinephrine could cause Takotsubo cardiomyopathy, although it is extremely rare.

Journal

  • Nishi Nihon Hifuka

    Nishi Nihon Hifuka 76 (3), 222-224, 2014

    Western Division of Japanese Dermatological Association

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