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Reading: Cardiogenic shock due to Takotsubo cardiomyopathy following thyroidectomy

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Case Reports

Cardiogenic shock due to Takotsubo cardiomyopathy following thyroidectomy

Authors:

Dilshan Priyankara ,

National Hospital of Sri Lanka, LK
About Dilshan
Senior Registrar in critical care medicine
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Edirisooriya Maddumage Manoj,

National Hospital of Sri Lanka, LK
About Edirisooriya
Consultant Intensivist
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Ramya Amarasena,

National Hospital of Sri Lanka, LK
About Ramya
Consultant Anaesthetist
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Chinthaka Gayasiri Hewavitharane,

National Hospital of Sri Lanka, LK
About Chinthaka
Senior registrar in Anaesthesia
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Asela Tharanga Lanka

National Hospital of Sri Lanka, LK
About Asela
Senior registrar in Anaesthesia
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Abstract

Takotsubo cardiomyopathy is characterized by transient left ventricular dysfunction in the absence of atherosclerotic disease. A 63yr old female with multiple autoimmune disorders was admitted to intensive care unit with severe hypotension and hypoxic respiratory failure following total thyroidectomy.  During her evaluation, her 2D echocardiogram showed good basal contractions with severe mid and apical hypokinesia and an ejection fraction of 35%. Her coronary angiogram showed normal epicardial coronaries and evidence of apical ballooning suggestive of TCM. Its recognition is important for prognostic evaluation and treatment considerations. Furthermore, the relationship between autoimmunity and TCM needs to be evaluated further.

How to Cite: Priyankara, D. et al., (2017). Cardiogenic shock due to Takotsubo cardiomyopathy following thyroidectomy. Sri Lankan Journal of Anaesthesiology. 25(2), pp.118–121. DOI: http://doi.org/10.4038/slja.v25i2.8248
Published on 05 Jul 2017.
Peer Reviewed

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