Abstract
This is a case of a 30 year old female, with Pregnancy Induced Hypertension and history of psychiatric illness in the past, subsequently developed TCM in the intra-operative period. ECG showed subtle fresh changes. There were multiple stressors for our patient namely acute blood loss, spinal anaesthesia and history of psychiatric illness. The decision on the timing and mode of delivery should be guided by obstetrical reasons. A multidisciplinary team of cardiologists, obstetricians, neonatologists, and psychologists should be involved. This case highlights the importance of being extra vigilant in patients having psychiatric disorders undergoing any surgical procedure especially caesarean section.
Highlights
In the absence of coronary artery disease, Takotsubo cardiomyopathy (TCM), known as stress induced cardiomyopathy, is described by new onset left ventricular dysfunction with variable wall motion abnormalities [1]
Takotsubo cardiomyopathy (TCM), known as stress induced cardiomyopathy, Clinically is characterized by new onset left ventricular dysfunction with variable wall motion defects in the absence of coronary artery disease (CAD) [2]
Majority of TCM cases in pregnancy are described in the peripartum period irrespective of the mode of delivery making it difficult to differentiate TCM from peripartum cardiomyopathy [6]
Summary
In the absence of coronary artery disease, Takotsubo cardiomyopathy (TCM), known as stress induced cardiomyopathy, is described by new onset left ventricular dysfunction with variable wall motion abnormalities [1]. Takotsubo cardiomyopathy (TCM), known as stress induced cardiomyopathy, Clinically is characterized by new onset left ventricular dysfunction with variable wall motion defects in the absence of coronary artery disease (CAD) [2]. Cardiac function normally returns in a matter of days or weeks. Emotional or psychological stress is a frequent TCM cause, with a high incidence seen in patients with psychiatric disorders [3]. Cardiogenic shock and cardiac arrhythmias may be present at the time of presentation. Majority of TCM cases in pregnancy are described in the peripartum period irrespective of the mode of delivery making it difficult to differentiate TCM from peripartum cardiomyopathy [6]
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