American Journal of Medical Case Reports
ISSN (Print): 2374-2151 ISSN (Online): 2374-216X Website: Editor-in-chief: Apply for this position
Open Access
Journal Browser
American Journal of Medical Case Reports. 2017, 5(9), 237-238
DOI: 10.12691/ajmcr-5-9-2
Open AccessArticle

Stress Cardiomyopathy Associated with Anesthesia

Munawwar Hussain1 and Nazish Malik2,

1Department of internal medicine, Conemaugh memorial medical center, Johnstown PA, USA

2Nice Avenue Johnstown, PA

Pub. Date: September 09, 2017

Cite this paper:
Munawwar Hussain and Nazish Malik. Stress Cardiomyopathy Associated with Anesthesia. American Journal of Medical Case Reports. 2017; 5(9):237-238. doi: 10.12691/ajmcr-5-9-2


Takotsubo cardiomyopathy is one of the acquired cardiomyopathies which occurs due to physical or emotional stress. Its most common manifestations are chest pain, dyspnea but may be accompanied with myalgia, abdominal symptoms, palpitations syncope or presyncope. These symptoms can vary from mild to severe forms. It mimics myocardial infarction as greater than 80% of patients with takotsubo cardiomyopathy have ST segment elevation on electrocardiogram, followed by diffuse deep T-wave inversion and QT prolongation. Ventriculography often shows transient hypo kinesis of left ventricular apex but cardiac catheterization shows no coronary artery disease and it resolves completely within days to weeks. Electrocardiographic and echocardiographic disturbances are seen with reduced LVEF and normal angiography. In this report, we present a case of 67 years old lady who was scheduled for right breast lumpectomy and underwent stress cardiomyopathy due to anesthesia effects. Case description will further illustrate the patient, procedure and anesthetic management.

anesthesia stress cardiomyopathy takotsubo cardiomyopathy

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit


[1]  Komamura, K., Fukui, M., Iwasaku, T., Hirotani, S., & Masuyama, T. (2014). Takotsubo cardiomyopathy: Pathophysiology, diagnosis and treatment. World Journal of Cardiology, 6(7), 602-609.
[2]  Littlejohn, F. C., Syed, O., Ornstein, E., Connolly, E. S., & Heyer, E. J. (2008). Takotsubo cardiomyopathy associated with anesthesia: three case reports. Cases Journal, 1, 227.
[3]  Rivera, A. M. C., Ruiz-BailĂ©n, M., & Aguilar, L. R. (2011). Takotsubo cardiomyopathy - a clinical review. Medical Science Monitor: International Medical Journal of Experimental and Clinical Research, 17(6), RA135-RA147.
[4]  Sealove, B. A., Tiyyagura, S., & Fuster, V. (2008). Takotsubo Cardiomyopathy. Journal of General Internal Medicine, 23(11), 1904-1908.
[5]  Teske, A. J., & Verjans, J. W. (2016). Takotsubo cardiomyopathy - stunning views on the broken heart. Netherlands Heart Journal, 24(9), 508-510.
[6]  Virani, S. S., Khan, A. N., Mendoza, C. E., Ferreira, A. C., & de Marchena, E. (2007). Takotsubo Cardiomyopathy, or Broken-Heart Syndrome. Texas Heart Institute Journal, 34(1), 76-79.