Management of Cesarean Section in a Patient with History of Takotsubo Cardiomyopathy-A Case Report

Journal of Obstetric Anaesthesia and Critical Care

article

Aayush Kulshrestha¹  Ketan S.Parikh¹ 

[1] Department of Anaesthesia, Breach Candy Hospital

关键词: Broken heart syndrome;    caesarean section;    takotsubo cardiomyopathy;   

DOI  :  10.4103/joacc.JOACC_31_20

学科分类：社会科学、人文和艺术（综合）

来源: Medknow

【 摘 要 】

Takotsubo cardiomyopathy (TTCM), also known as stress-induced cardiomyopathy or “broken heart syndrome,” is a clinical entity characterized by acute left ventricular dysfunction and reversible cardiac failure in the absence of coronary artery disease. Obstetric patients with a history of peripartum TTCM pose a unique challenge to the anesthesiologist. With a multiplicity of issues to be considered and no recommendations for best practice, the management plan needs to be tailored for each parturient to minimize the stress associated with labor and delivery. We present the case of an apparently healthy parturient with a history of peripartum TTCM presenting for a subsequent cesarean section and outline the various issues an anesthesiologist might encounter.

【 授权许可】

CC BY-NC-SA