Korean J Anesthesiol.  2012 Jan;62(1):79-82. 10.4097/kjae.2012.62.1.79.

Stress-induced cardiomyopathy after negative pressure pulmonary edema during emergence from anesthesia: A case report

Affiliations
  • 1Department of Anesthesiology and Pain Medicine, Yonsei University College of Medicine, Seoul, Korea. sbnam@yuhs.ac
  • 2Anesthesia and Pain Research Institute, Yonsei University College of Medicine, Seoul, Korea.

Abstract

Stress-induced cardiomyopathy (SICM) presenting as an acute myocardial dysfunction is characterized by transient left ventricular wall motion abnormality, which has been known to be associated with excessive catecholamine production caused due to various types of stress. Sympathetic hyperactivity is common during the perioperative period, and reports of SICM occurring during this period have actually increased. We present a case of SICM following negative pressure pulmonary edema due to upper airway obstruction during emergence from anesthesia. Excessive catecholamine release in response to respiratory difficulty could have been the underlying inciting factor.

Keyword

Negative pressure pulmonary edema; Stress-induced cardiomyopathy

MeSH Terms

Airway Obstruction
Anesthesia
Cardiomyopathies
Perioperative Period
Pulmonary Edema
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