Kan Chin Fung Kelvin, Rich Bianca, Brown Noah, Janes Sophia, Grudziak Joanna
Anesthesiology, University of Utah School of Medicine, Salt Lake City, USA.
General Surgery, University of Utah School of Medicine, Salt Lake City, USA.
Cureus. 2023 Jul 12;15(7):e41770. doi: 10.7759/cureus.41770. eCollection 2023 Jul.
Takotsubo cardiomyopathy (TCM) is a rare stress-induced condition that appears rarely in suspected acute myocardial infarction cases. It causes unexplained left ventricular failure, but most cases are reversible with supportive treatment. In this report, we present the case of a 70-year-old female who developed acute hypotension after a laparoscopic Toupet fundoplication on postoperative day one, requiring care in the surgical intensive care unit. Following consultation with the cardiology service and further imaging and tests, she was diagnosed with TCM. This report outlines the potential mechanisms and management of TCM in the intensive care unit, emphasizing the importance of prompt diagnosis and treatment.
应激性心肌病（TCM）是一种罕见的应激诱导性疾病，在疑似急性心肌梗死病例中很少出现。它会导致不明原因的左心室衰竭，但大多数病例通过支持性治疗是可逆的。在本报告中，我们介绍了一名70岁女性的病例，该患者在腹腔镜Toupet胃底折叠术后第一天出现急性低血压，需要在外科重症监护病房接受治疗。在咨询心脏病科并进行进一步的影像学检查和测试后，她被诊断为应激性心肌病。本报告概述了重症监护病房中应激性心肌病的潜在机制和管理，强调了及时诊断和治疗的重要性。
