Manejo anestésico en una paciente previamente diagnosticada de síndrome de takotsubo

摘要: Takotsubo cardiomyopathy (transient apical ballooning of the left ventricle) is a recently described and often underdiagnosed entity. The syndrome observed predominately in postmenopausal women clinical signs are similar to those an acute anterior myocardial infarction. In most reported cases emotional or physical stress event has been identified as trigger, perioperative suggested trigger some these cases. Outcome favorable with right treatment, though recurrences possible. We report anesthetic management 79-year-old woman previously diagnosed episode cardiomyopathy, who was admitted our hospital for total hip replacement. Care taken provide proper preoperative sedation before provision hyperbaric spinal anesthesia, followed by intravenous propofol. Surgery early postoperative period were uneventful. believe that minimizing anxiety should be priority patients due possibility catecholamine discharge might cardiomyopathy.