Stress Induced Cardiomyopathy (Takotsubo) in a Post-Operative Pregnancy Induced Hypertension Patient Operated for Caesarean Section: A Case Report
Shweta Takalkar
Department of Anaesthesiology, Datta Meghe Medical College, Shalinitai Meghe Hospital and Research Centre Hingna, Nagpur, India.
Pratibha Deshmukh
Department of Anaesthesiology, Datta Meghe Medical College, Shalinitai Meghe Hospital and Research Centre Hingna, Nagpur, India.
Sweety Pasari *
Department of Anaesthesiology, Datta Meghe Medical College, Shalinitai Meghe Hospital and Research Centre Hingna, Nagpur, India.
Priyanka Deshmukh
Department of Anaesthesiology, Datta Meghe Medical College, Shalinitai Meghe Hospital and Research Centre Hingna, Nagpur, India.
Vivek Chakole
Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences Sawangi (Meghe) Wardha, India.
*Author to whom correspondence should be addressed.
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.
Keywords: Takotsubo Cardiomyopathy (TCM), PIH (Pregnancy Induced Hypertension), spinal Anaesthesia