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Redefining Takotsubo Syndrome and Its Implications.
J Cardiothorac Vasc Anesth
April 2020
Division of Cardiovascular and Thoracic Anesthesiology, Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, MN. Electronic address:
Peroperative cardiogenic shock suggesting acute coronary syndrome as initial manifestation of Lyme carditis.
J Clin Anesth
December 2016
Critical Care Department, University Hospital Brugmann, VanGehuchten square, B1020 Brussels, Belgium. Electronic address:
Carditis can complicate Lyme disease in an estimated <5% of cases, and cardiogenic shock and severe cardiac arrhythmias are described with electrocardiographic abnormalities that could be suggestive of coronary manifestations. We report a case of severe persistent biventricular heart failure complicated by cardiac arrhythmias as initial manifestation of a Lyme disease developing peroperatively electrocardiographic abnormalities suggesting acute transmural myocardial infarction.
View Article and Find Full Text PDFPeroperative electrocardiographic control of catheter tip position during implantation of femoral venous ports.
J Vasc Access
May 2016
Hospices civils de Lyon, Department of Anesthesiology, Centre Hospitalier Lyon Sud, Pierre Bénite - France.
Purpose: Electrocardiographic (ECG) guidance has been shown to be as effective than fluoroscopy to position the tip of central venous devices close to the superior vena cava (SVC)-right atrium (RA) junction. When SVC access is contraindicated, a femoral access may be used. The aim of this prospective study is to evaluate the effectiveness of ECG guidance to position the tip of femoral ports at inferior vena cava (IVC)-RA junction.
View Article and Find Full Text PDFEndothelin-1 in the human myocardium and circulating plasma: evaluation before, during and after correction of aortic stenosis with aortic valve replacement.
Cardiology
March 2013
Department of Cardiothoracic Surgery, Oslo University Hospital, Ullevål, Norway.
Objectives: Due to the pathological effects of endothelin-1 (ET-1) on cardiomyocytes and the extracellular matrix, ET-1 levels may impact on the prognosis of aortic stenosis (AS) patients operated with aortic valve replacement (AVR). We examined ET-1 levels in AS patients throughout the whole AVR process, thus exposing potential therapeutic windows of opportunity.
Methods: Plasma ET-1 levels were measured before and 2 days, 6 and 12 months after AVR in 22 patients with AS.
Torsade de pointes during sevoflurane anesthesia and fluconazole infusion in a patient with long QT syndrome. A case report.
Acta Anaesthesiol Belg
October 2011
Department of Anesthesiology, Catharina Hospital Eindhoven, the Netherlands.
We present the occurrence of 'torsade de pointes' induced by the combination of peroperative fluconazole administration and sevoflurane anesthesia in a patient with 'long QT syndrome' (LQTS) scheduled for resection of a sacral abscess. Eight minutes following uneventful induction of anesthesia 'torsade de pointes' occurred, terminated by a counter shock. At this time the end-tidal concentration of sevoflurane was 2%.
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