Peri-Operative Takotsubo Cardiomyopathy: A Case Series

Abstract

akotsubo Cardiomyopathy (TC) is a reversible, stress-induced, non-ischemic cardiomyopathy \rassociated with temporary weakness of the myocardium and midventricular or apical ballooning.1, 2 \rAngina, ST abnormalities, elevated troponins, ventricular asynergy, CHF, and decreased EF are all \rcomponents of TC. The unique finding is that they occur on the absence of CAD.3 In this case series \rwith IRB approval we report three cases of post-operative cardiac symptoms that all resulted in a \rdiagnosis of TC.\rTakotsubo cardiomyopathy is more common than once thought. In the perioperative setting, signs \rand symptoms that suggest an MI can be due to TC. It is important to have a heightened level of \rawareness, be aware of risk factors, and to bear in mind that in patients with a history of TC, it can \rreoccur. Fortunately, with proper interventions, TC has a favorable prognosis and cardiac function \rreturns to normal.