心碎后幸存：一例术中心脏骤停与应激性心肌病病例

Surviving a Broken Heart: A Case of Intraoperative Cardiac Arrest and Takotsubo Cardiomyopathy.

作者信息

Dan Lt Devon, Moore Cdr Chad

机构信息

is a student in the Nurse Anesthesia Program at the Daniel K. Inouye Graduate School of Nursing, Uniformed Services University of the Health Sciences at Naval Hospital Jacksonville, Florida. Email:

is the phase 2 site director for the Nurse Anesthesia Program at the Daniel K. Inouye Graduate School of Nursing, Uniformed Services University of the Health Sciences at Naval Hospital Jacksonville, Florida. Email:

出版信息

AANA J. 2020 Oct;88(5):355-358.

PMID:32990203

Abstract

Takotsubo cardiomyopathy manifests as global myocardial hypokinesis, a rare challenge for anesthesia practitioners. This report discusses a case in which a seemingly healthy patient presented for open abdominal hysterectomy and experienced intraoperative cardiac arrest requiring cardiopulmonary resuscitation. Takotsubo cardiomyopathy was diagnosed following resuscitation. This case examines risk factors and the intraoperative and postoperative management of a patient with Takotsubo cardiomyopathy.

摘要

应激性心肌病表现为整体心肌运动减弱，这对麻醉医生来说是一个罕见的挑战。本报告讨论了一例看似健康的患者接受开放性腹部子宫切除术时发生术中心脏骤停需要心肺复苏的病例。复苏后诊断为应激性心肌病。本病例探讨了应激性心肌病患者的危险因素以及术中及术后管理。