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case-report

Preoperative Takotsubo Cardiomyopathy Identified in the Operating Room Before Induction of Anesthesia

Andrew K. Wong, MD^*, William J. Vernick, MD^*, Susan E. Wiegers, MD, Jevere A. Howell, MD^*, and Ashish C. Sinha, MD, PhD^*

From the *Department of Anesthesiology and Critical Care, and Division of Cardiovascular Medicine, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania.

Address correspondence and reprint requests to Ashish C. Sinha, MD, PhD, Department of Anesthesiology and Critical Care, Hospital of the University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104. Address e-mail to sinhaa{at}uphs.upenn.edu.

Abstract

We present a case of Takotsubo cardiomyopathy recognized in a patient just before induction of anesthesia. The patient's anxiety about surgery could have been an inciting factor. As the patient's surgery was cancelled and rescheduled for a later date, treatment and strategies to prevent recurrence of the syndrome are discussed.