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Research Article Open access CC BY 4.0

Stress Induced Cardiomyopathy (Takotsubo) in a Post-Operative Pregnancy Induced Hypertension Patient Operated for Caesarean Section: A Case Report

Shweta Takalkar, Pratibha Deshmukh, Sweety Pasari, Priyanka Deshmukh, Vivek Chakole

Journal of Pharmaceutical Research International · pp. 146–150 · Published 27 Jul 2021

10.9734/jpri/2021/v33i38B32109

Abstract

This is a case of a 30 year old female, with Pregnancy Induced Hypertension and history of psychiatric illness in the past, subsequently developed TCM in the intra-operative period. ECG showed subtle fresh changes. There were multiple stressors for our patient namely acute blood loss, spinal anaesthesia and history of psychiatric illness. The decision on the timing and mode of delivery should be guided by obstetrical reasons. A multidisciplinary team of cardiologists, obstetricians, neonatologists, and psychologists should be involved. This case highlights the importance of being extra vigilant in patients having psychiatric disorders undergoing any surgical procedure especially caesarean section.

Takotsubo Cardiomyopathy (TCM) PIH (Pregnancy Induced Hypertension) spinal Anaesthesia

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