Korean J Anesthesiol.  2009 Apr;56(4):470-473. 10.4097/kjae.2009.56.4.470.

Suspicious stress induced cardiomyopathy following hemorrhoidectomy under spinal anesthesia: A case report

• Choi RM
• Yoon JS
• Noh JH
• Kang KO
• Kim MS
• Cho SS
• Jun HJ

• KMID: 2236540
• DOI: http://doi.org/10.4097/kjae.2009.56.4.470

Abstract

A 48-year-old healthy woman was admitted in our hospital for elective hemorrhoidectomy. She developed sudden headache and chest pain, and showed sinus bradycardia, arrhythmia and hypotension forty minutes after spinal anesthesia with 0.5% hyperbaric bupivacaine. An EKG showed ST depression and an transthoracic echocardiogram performed in PACU demonstrated mild LV dysfunction with hypokinesia of LV inferolateral wall. An coronary angiography on postoperative day 1 revealed normal coronary vessel and akinesia of LV inferior wall. Levels of CK-MB and Troponin I were mildly elevated. With medical therapy, the patient's symptoms improved and recovered without any complication.

Keyword

Complication; Ischemic myocardial stunning; Spinal anesthesia; Stress induced cardiomyopathy

MeSH Terms

Anesthesia, Spinal
Arrhythmias, Cardiac
Bradycardia
Bupivacaine
Cardiomyopathies
Chest Pain
Coronary Angiography
Coronary Vessels
Depression
Electrocardiography
Female
Glycosaminoglycans
Headache
Hemorrhoidectomy
Humans
Hypokinesia
Hypotension
Middle Aged
Troponin I
Bupivacaine
Glycosaminoglycans
Troponin I