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Letters Takotsubo cardiomyopathy

An underdiagnosed complication of anaesthesia?

BMJ 2010; 340 doi: (Published 16 June 2010) Cite this as: BMJ 2010;340:c3141
  1. Peter J O’Brien, specialist registrar, intensive care medicine1,
  2. Adnan Nadir, clinical research fellow in cardiology1,
  3. Stephan Koch, consultant cardiologist1,
  4. Stephen J Cole, consultant in anaesthesia and intensive care1,
  5. Neil MacKenzie, consultant anaesthetist1
  1. 1Ninewells Hospital, Dundee DD5 3GG
  1. peterobrien{at}

    Takotsubo cardiomyopathy (TC) can be a serious but reversible cause of acute myocardial dysfunction after anaesthesia.1 A 43 year old man recently underwent laparoscopic cholecystectomy at our day case unit. He was systemically well with no comorbidities but was extremely anxious about the procedure.

    Anaesthetic induction and surgery were uneventful but shortly after he developed acute respiratory failure requiring reintubation and transfer to …

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