Permanent URL to this publication: http://dx.doi.org/10.5167/uzh-41194
Zdanowicz, J A; Utz, A C; Geier, S; Corti, R; Beinder, E (2011). "Broken heart" after cesarean delivery. Case report and review of literature. Archives of Gynecology and Obstetrics, 283(4):687-694.
- Registered users only
View at publisher
Objective To present a rare case of a multiparous woman undergoing elective cesarean section with apparent symptoms of acute coronary syndrome and who was later diagnosed with Takotsubo cardiomyopathy (TCM; ‘‘broken heart syndrome’’). To review similar case reports already reported in literature. Methods Literature search on the occurrence of TCM in pregnancy using MEDLINE and Cochrane databases. Results TCM might occur in women with no known preexisting cardiomyopathy and uncomplicated pregnancies undergoing cesarean section, especially in combination with the administration of catecholamines/vasoconstrictive substances and possibly also oxytocin and prostaglandins. Conclusions Since TCM is related to emotional and physical stress, the surroundings during cesarean section should be kept quiet and smooth. Adrenergic stimulants (adrenaline, phenylephrine, ergonovine, ephedrine) and anticholinergics (atropine) should be used with caution and adequate volume substitution prior to the onset of spinal analgesia for the prevention of hypotension should be provided. If signs of an acute coronary syndrome during cesarean section do occur, echocardiography is obligatory for diagnosis of TCM.
4 downloads since deposited on 07 Jan 2011
0 downloads since 12 months
|Item Type:||Journal Article, refereed, original work|
|Communities & Collections:||04 Faculty of Medicine > University Hospital Zurich > Clinic for Obstetrics
04 Faculty of Medicine > University Hospital Zurich > Clinic for Cardiology
|Dewey Decimal Classification:||610 Medicine & health|
|Deposited On:||07 Jan 2011 09:57|
|Last Modified:||28 Nov 2013 00:08|
Users (please log in): suggest update or correction for this item
Repository Staff Only: item control page