Stress Induced Cardiomyopathy after Local Epinephrine Use: A case report.
10.4097/kjae.2008.54.5.581
- Author:
Choon Kyu CHO
1
;
Sung Mee JUNG
;
Joong Yeoun KIM
;
Hee Uk KWON
;
Po Soon KANG
Author Information
1. Department of Anesthesiology and Pain Medicine, College of Medicine, Konyang University, Daejeon, Korea. kl6482@hanmail.net
- Publication Type:Case Report
- Keywords:
stress induced cardiomyopathy;
epinephrine
- MeSH:
Cardiomyopathies;
Coronary Stenosis;
Epinephrine;
Heart Arrest;
Hemorrhage;
Myocardial Infarction;
Prognosis;
Pulmonary Edema
- From:Korean Journal of Anesthesiology
2008;54(5):581-584
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Epinephrine is frequently used to control local bleeding during surgery. However, it may be associated with complications, such as pulmonary edema, reversible cardiomyopathy, and cardiac arrest. We encountered a case of stress induced cardiomyopathy (SIC) after local epinephrine instillation. The SIC is manifested with typical left ventricular apical ballooning and clinical symptoms of a myocardial infarction without coronary stenosis. Although its prognosis is more favorable than a myocardial infarction, anesthesiologists need to be aware of the possible adverse effects of local epinephrine infiltration.
