| Stress Induced Cardiomyopathy after Local Epinephrine Use: A case report. |
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Choon Kyu Cho, Sung Mee Jung, Joong Yeoun Kim, Hee Uk Kwon, Po Soon Kang |
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Department of Anesthesiology and Pain Medicine, College of Medicine, Konyang University, Daejeon, Korea. kl6482@hanmail.net |
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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. |
| Key Words:
stress induced cardiomyopathy; epinephrine |
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