Anaesthesiology and Intensive Care Clinic, Tartu University Hospital, Estonia.
Medicina (Kaunas). 2012;48(2):77-9. Epub 2012 Mar 23.
Takotsubo cardiomyopathy is an acute, reversible left ventricular dysfunction with characteristic contractility disorder and is usually preceded by emotional or physical stress. Two cases of Takotsubo cardiomyopathy related to tracheal manipulation are presented. Both the patients had all the typical symptoms and signs of Takotsubo cardiomyopathy, and both of them recovered completely within weeks. Tracheal manipulation is a well-known stress factor during the perioperative period, and experience from these two cases stresses the crucial role of measures aimed to stress reduction. Proper premedication and calm environment are recommended to produce anxiolysis before intubation. The administration of α- and β-blockers is also recommended to inhibit sympathetic stress caused by tracheal manipulation.
应激性心肌病是一种急性、可逆性左心室功能障碍，伴有特征性的收缩功能障碍，通常发生在情绪或身体应激之前。本文报告了 2 例与气管操作相关的应激性心肌病病例。这 2 例患者均有应激性心肌病的所有典型症状和体征，且均在数周内完全恢复。气管操作是围手术期众所周知的应激因素，这 2 例病例的经验强调了旨在减轻应激的措施的关键作用。建议在插管前进行适当的预用药和镇静环境以产生焦虑缓解。还建议使用α和β受体阻滞剂抑制气管操作引起的交感神经应激。
