“Broken heart” after cesarean delivery. Case report and review of literature

Abstract

Since TCM is related to emotional and physical stress, the surroundings during cesarean section should be kept quiet and smooth. Adrenergic stimulants (adrenaline, phenylephrine, ergonovine, ephedrine) and anticholinergics (atropine) should be used with caution and adequate volume substitution prior to the onset of spinal analgesia for the prevention of hypotension should be provided. If signs of an acute coronary syndrome during cesarean section do occur, echocardiography is obligatory for diagnosis of TCM.

Reverse Apical Ballooning Echocardiographic Pattern in Eclampsia-Related Cardiomyopathy

“…[4][5][6] Several cases have been reported around the time of cesarean delivery. [6][7][8][9][10][11] Unlike our case, these were not associated with eclampsia. In 1 case series, 13 women who had elective cesarean delivery developed symptoms intraoperatively or within 24 hours postdelivery.…”

Adverse cardiac events during catecholamine vasopressor therapy: a prospective observational study

“…While the binary use but not the dose of epinephrine was associated with the occurrence of adverse cardiac events, phenylephrine was linked with the occurrence of adverse cardiac events in a dose-dependent fashion. Although no causative association has so far been proven in the clinical setting, adverse cardiac events have been reported with both catecholamine agents [32][33][34].…”

Tako-tsubo syndrome soon after caesarean delivery: two case reports

“…TTS in the postpartum period especially after cesarean delivery has been previously reported, [4,5]. Of note, in late pregnancy the placenta produces high estradiol levels that decrease suddenly after placenta expulsion in the early postpartum favoring a higher myocardium susceptibility to adrenergic stimuli, [6].…”