Takotsubo cardiomyopathy adrenaline

Cardiovascular Takotsubo cardiomyopathy [SEDA-33, 313] has been described after local application of adrenaline during nasal surgery in two cases cardiovascular MRI scans showed myocardial vasodilatation, capillary leak, and regional edema [1" ]. Reports linking takotsubo syndrome to the use of adrenaline during anaphylaxis have been reviewed... 

Inverted takotsubo cardiomyopathy, in which there is left ventricular circumferential dyskinesia or akinesia with a hyperkinetic apex, has been attributed to the inadvertent administration of intravenous adrenaline and noradrenaline [4 ]. 

In eight women with raised plasma adrenaline and noradrenaline concentrations secondary to various types of stress, takotsubo cardiomyopathy was associated with endothelial cell apoptosis [5 ]. 

Reverse takotsubo cardiomyopathy has abo been attributed to adrenaline in a 24-year-old woman with no previous hbtory of cardiac dbease [44 ]. 

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