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Medicina is published by MDPI from Volume 54 Issue 1 (2018). Articles in this Issue were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence. Articles are hosted by MDPI on mdpi.com as a courtesy and upon agreement with Lithuanian Medical Association, Lithuanian University of Health Sciences, and Vilnius University.
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Two Cases of Takotsubo Syndrome Related to Tracheal Intubation/Extubation

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Anaesthesiology and Intensive Care Clinic, Tartu University Hospital
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Anaesthesiology and Intensive Care Clinic, University of Tartu, Estonia
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Author to whom correspondence should be addressed.
Medicina 2012, 48(2), 10; https://doi.org/10.3390/medicina48020010
Received: 6 May 2011 / Accepted: 28 February 2012 / Published: 4 March 2012
Takotsubo cardiomyopathy is an acute, reversible left ventricular dysfunction with characteristic contractility disorder and is usually preceded by emotional or physical stress. Two cases of Takotsubo cardiomyopathy related to tracheal manipulation are presented. Both the patients had all the typical symptoms and signs of Takotsubo cardiomyopathy, and both of them recovered completely within weeks. Tracheal manipulation is a well-known stress factor during the perioperative period, and experience from these two cases stresses the crucial role of measures aimed to stress reduction. Proper premedication and calm environment are recommended to produce anxiolysis before intubation. The administration of α- and β-blockers is also recommended to inhibit sympathetic stress caused by tracheal manipulation.
Keywords: Takotsubo cardiomyopathy; intubation; extubation; sympathetic stress Takotsubo cardiomyopathy; intubation; extubation; sympathetic stress
MDPI and ACS Style

Jakobson, T.; Svitškar, N.; Tamme, K.; Starkopf, J.; Karjagin, J. Two Cases of Takotsubo Syndrome Related to Tracheal Intubation/Extubation. Medicina 2012, 48, 10.

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