Cardiogenic shock induced by Takotsubo cardiomyopathy in early postoperative adrenalectomy period

Takotsubo cardiomyopathy is part of the group of diseases called stress-induced cardiomyopathies. Its usual clinical presentation is indistinguishable from an acute coronary syndrome. However, early diagnosis is important, as it may debut as a cardiogenic shock in approximately 8% of cases, with morbidity and mortality rates comparable to those of acute coronary syndrome. For this reason, although it is a relatively infrequent condition, the perioperative period is a stress factor that can act as a trigger of this pathology. A case is presented of the onset of Takotsubo cardiomyopathy as a cardiogenic shock during admission in a Postoperative Recovery Unit. (C) 2019 Sociedad Espanola de Anestesiologia, Reanimation y Terapeutica del Dolor. Published by Elsevier Espana, S.L.U. All rights reserved.