Journal
JOURNAL OF ANESTHESIA
Volume 25, Issue 2, Pages 282-285Publisher
SPRINGER TOKYO
DOI: 10.1007/s00540-010-1085-0
Keywords
Anaphylaxis; Anesthesia; Epinephrine; Tako-Tsubo cardiomyopathy
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Apical ballooning syndrome, a reversible left ventricle dysfunction, has been reported following anaphylaxis and, during this clinical circumstance, is seemingly linked to the use of either low or high doses of epinephrine. We report a severe succinylcholine-induced IgE-mediated anaphylaxis in a 65-year-old woman, in whom the diagnosis of apical ballooning syndrome following anaphylaxis was established. As a thorough description of the clinical features and resuscitative measures could be obtained, we discuss the reasons for apical ballooning syndrome occurrence and highlight the fact that optimal care management of anaphylaxis should include a progressive titration of epinephrine.
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