Takotsubo Cardiomyopathy Precipitated By Thyroidectomy - A Case Report

Abstract Takotsubo cardiomyopathy (TC) is an acute cardiac condition triggered by emotional or physical stress. General anesthesia and sympathetic activation are possible triggers for TC. However, little known about the role of sympathovagal activity in In our report, we present a female patient, aged 62, who underwent thyroidectomy at end surgery developed complications. The patient had no chest pain, but ST depression negative T waves on electrocardiogram (ECG). Cardiospecific enzyme troponin was elevated. Cardiac catheterization revealed unobstructed coronary arteries. Echo-cardiography enlargement left ventricle ejection fraction 40%. diagnosed with TC dual antiplatelet therapy introduced, beta blocker ACE inhibitor.It that perioperative period after this occured due to both parasympathetic activation. Probably, extraction large thyroid induced vagal stimulation which resulted hypotension bradicardia. subsequently treated adrenaline atropine. case, different intervals could result development condition.