Korean J Anesthesiol.
2008 May;54(5):581-584. 10.4097/kjae.2008.54.5.581.
Stress Induced Cardiomyopathy after Local Epinephrine Use: A case report
- Affiliations
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- 1Department of Anesthesiology and Pain Medicine, College of Medicine, Konyang University, Daejeon, Korea. kl6482@hanmail.net
- KMID: 2236559
- DOI: http://doi.org/10.4097/kjae.2008.54.5.581
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.
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