| Suspicious stress induced cardiomyopathy following hemorrhoidectomy under spinal anesthesia: A case report. |
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Rak Min Choi, Jin Sun Yoon, Jae Hoon Noh, Kyoung Oh Kang, Min Suk Kim, Sam Soon Cho, Hee Jung Jun |
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Department of Anesthesiology and Pain Medicine, Korean Veterans Hospital, Seoul, Korea. medisun@hanamil.net |
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| Abstract |
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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. |
| Key Words:
Complication; Ischemic myocardial stunning; Spinal anesthesia; Stress induced cardiomyopathy |
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