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26 June 2021: Articles

Takotsubo Cardiomyopathy Induced by Very Low-Dose Epinephrine Contained in Local Anesthetics: A Case Report

Diagnostic / therapeutic accidents

Waichi Yamamoto B , Tasuku Nishihara A* , Kazuo Nakanishi B , Naoki Abe E , Taisuke Hamada E , Mikiko Takeuchi C , Toshihiro Yorozuya E

DOI: 10.12659/AJCR.932028

Am J Case Rep 2021; 22:e932028

Figure 3. Postoperative examinations. (A) Postoperative coronary arteriography showed no significant stenosis in the coronary artery. (B) Left ventricular angiography revealed akinesis from the area of the apex to the left ventricle anterior wall. (C) Blood examination demonstrated normal levels of creatine kinase isozyme-MB and elevated levels of creatine kinase and troponin-I at the peak, 6 h after surgery. (D) 123I-metaiodobenzylguanidine myocardial scintigraphy on postoperative day 8 shows decreased accumulation in the septum and increased accumulation in the base. POH – postoperative hour; POD – postoperative day.

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923