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ABSTRACT Takotsubo Cardiomyopathy (TC) is a well-recognized clinical entity that mimics an acute coronary syndrome and is characterized by a transient abnormality of the apical segments of the heart. Reverse… Click to show full abstract
ABSTRACT Takotsubo Cardiomyopathy (TC) is a well-recognized clinical entity that mimics an acute coronary syndrome and is characterized by a transient abnormality of the apical segments of the heart. Reverse TC (RTC) is a recognized variant of TC that affects the basal segments of the left ventricle with hypercontractility of the apical myocardial segments. While classic form mostly affects postmenopausal women, RTC occurs essentially in younger females, always triggered by stress. It can also develop after medical procedures and surgery. We report a case of a 33-year-old woman with RTC after epidural anesthesia for caesarean section. Our case highlights the significance of high clinical suspicion among anesthesiologists, obstetricians and cardiologists of this variant and the important role of imaging the diagnosis and therapeutic management of the disease.
Journal Title: Journal of cardiothoracic and vascular anesthesia
Year Published: 2019
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