Epinephrine soaked tampons induced transient acute dilated cardiomyopathy during FESS procedure
Abstract Background Epinephrine, in all modes of use, may pose a wide range of cardiotoxic events, ranging from sinus tachycardia to heart failure, life threatening arrhythmias, and even death. Because of daily and extensive use of epinephrine, these unusual and rare events tend to be forgotten by p...
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| Format: | Article |
| Language: | English |
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BMC
2020-10-01
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| Series: | BMC Cardiovascular Disorders |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12872-020-01706-8 |
| _version_ | 1818199102798692352 |
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| author | Sari Naddaf Scott Ehrenberg Rony Hakim Muhamad Mahamid Yoav Turgeman Ofir Koren |
| author_facet | Sari Naddaf Scott Ehrenberg Rony Hakim Muhamad Mahamid Yoav Turgeman Ofir Koren |
| author_sort | Sari Naddaf |
| collection | DOAJ |
| description | Abstract Background Epinephrine, in all modes of use, may pose a wide range of cardiotoxic events, ranging from sinus tachycardia to heart failure, life threatening arrhythmias, and even death. Because of daily and extensive use of epinephrine, these unusual and rare events tend to be forgotten by physicians. We present a case of dilated cardiomyopathy that developed following routine use of epinephrine-impregnated tampons during function endoscopic sinus (FESS) surgery. Case presentation A healthy, 24-year-old man with no family history of heart disease has undergone elective surgery under general anesthesia to repair the paranasal sinuses using endoscopic approach. During surgery, soon after being treated with 1: 1000 diluted epinephrine-soaked tampons, an hypertensive crisis was noticed followed by pulseless electrical activity. An extensive examination led to the diagnosis of non-ischemic dilated cardiomyopathy. After several days of heart failure medical therapy, complete resolution of all structural and functional changes was achieved. Conclusion In our case, we present an unusual and rare event of acute dilated cardiomyopathy following the use of epinephrine-soaked tampons during elective FESS surgery. A prompt response was observed after several days of heart failure treatment. Awareness of the epinephrine cardiotoxic potential even in the form of soaked tampons is essential for proper diagnosis and prompt treatment. |
| first_indexed | 2024-12-12T02:16:26Z |
| format | Article |
| id | doaj.art-fdec43678eae49efada1cae6dd3aa58f |
| institution | Directory Open Access Journal |
| issn | 1471-2261 |
| language | English |
| last_indexed | 2024-12-12T02:16:26Z |
| publishDate | 2020-10-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Cardiovascular Disorders |
| spelling | doaj.art-fdec43678eae49efada1cae6dd3aa58f2022-12-22T00:41:47ZengBMCBMC Cardiovascular Disorders1471-22612020-10-012011510.1186/s12872-020-01706-8Epinephrine soaked tampons induced transient acute dilated cardiomyopathy during FESS procedureSari Naddaf0Scott Ehrenberg1Rony Hakim2Muhamad Mahamid3Yoav Turgeman4Ofir Koren5Bruce Rappaport Faculty of Medicine, Technion-Israel Institute of TechnologyBruce Rappaport Faculty of Medicine, Technion-Israel Institute of TechnologyDepartment of Anaesthesia, Emek Medical CenterHeart Institute, Emek Medical CenterBruce Rappaport Faculty of Medicine, Technion-Israel Institute of TechnologyBruce Rappaport Faculty of Medicine, Technion-Israel Institute of TechnologyAbstract Background Epinephrine, in all modes of use, may pose a wide range of cardiotoxic events, ranging from sinus tachycardia to heart failure, life threatening arrhythmias, and even death. Because of daily and extensive use of epinephrine, these unusual and rare events tend to be forgotten by physicians. We present a case of dilated cardiomyopathy that developed following routine use of epinephrine-impregnated tampons during function endoscopic sinus (FESS) surgery. Case presentation A healthy, 24-year-old man with no family history of heart disease has undergone elective surgery under general anesthesia to repair the paranasal sinuses using endoscopic approach. During surgery, soon after being treated with 1: 1000 diluted epinephrine-soaked tampons, an hypertensive crisis was noticed followed by pulseless electrical activity. An extensive examination led to the diagnosis of non-ischemic dilated cardiomyopathy. After several days of heart failure medical therapy, complete resolution of all structural and functional changes was achieved. Conclusion In our case, we present an unusual and rare event of acute dilated cardiomyopathy following the use of epinephrine-soaked tampons during elective FESS surgery. A prompt response was observed after several days of heart failure treatment. Awareness of the epinephrine cardiotoxic potential even in the form of soaked tampons is essential for proper diagnosis and prompt treatment.http://link.springer.com/article/10.1186/s12872-020-01706-8EpinephrineDilated cardiomyopathyHeart failureFESSSurgery |
| spellingShingle | Sari Naddaf Scott Ehrenberg Rony Hakim Muhamad Mahamid Yoav Turgeman Ofir Koren Epinephrine soaked tampons induced transient acute dilated cardiomyopathy during FESS procedure BMC Cardiovascular Disorders Epinephrine Dilated cardiomyopathy Heart failure FESS Surgery |
| title | Epinephrine soaked tampons induced transient acute dilated cardiomyopathy during FESS procedure |
| title_full | Epinephrine soaked tampons induced transient acute dilated cardiomyopathy during FESS procedure |
| title_fullStr | Epinephrine soaked tampons induced transient acute dilated cardiomyopathy during FESS procedure |
| title_full_unstemmed | Epinephrine soaked tampons induced transient acute dilated cardiomyopathy during FESS procedure |
| title_short | Epinephrine soaked tampons induced transient acute dilated cardiomyopathy during FESS procedure |
| title_sort | epinephrine soaked tampons induced transient acute dilated cardiomyopathy during fess procedure |
| topic | Epinephrine Dilated cardiomyopathy Heart failure FESS Surgery |
| url | http://link.springer.com/article/10.1186/s12872-020-01706-8 |
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