Perioperative haemodynamic instability caused by Takotsubo cardiomyopathy

Abstract

Takotsubo cardiomyopathy is characterised by the acute onset of a distinctive pattern of left ventricular regional wall abnormalities. This acute cardiomyopathy is commonly triggered by emotional or physiological stressors, as may occur in the perioperative period. We present a case of perioperative Takotsubo cardiomyopathy complicated by cardiac arrhythmias and haemodynamic instability. We discuss the interplay of pre-existing patient risk factors and the physiological triggers that culminated in the development of Takotsubo cardiomyopathy in this patient. The importance of correct diagnosis and management is highlighted, with special reference to the value of point-of-care echocardiography.