Abstract：
Takotsubo cardiomyopathy (TTC) is a rare condition associated with transient akinesia of apical segments and hyperkinesia of basal segments of the heart. Although several mechanisms have been proposed to cause direct and indirect myocardial damage owing to catecholamine excess, the underlying pathophysiology remains unknown. An 18-year-old female was referred to our otorhinolaryngology outpatient clinic for a septorhinoplasty. Apart from the fear of surgery, the patient had no other health issues. After the administration of local anesthesia (lidocaine and epinephrine mix), tachycardia storms occurred and soon ended with cardiac collapse. Further evaluation revealed TTC. TTC should be considered, especially in cases of treatment-resistant hemodynamic problems after cardiac resuscitation, and nurses can play a crucial role during the preanesthetic period in helping the patient cope with the stress factors related to the upcoming surgery.
摘要：
Takotsubo心肌病（TTC）是一种罕见的疾病，与心尖段的短暂性运动障碍和心脏基底段的运动过度有关。尽管已经提出了由于儿茶酚胺过量引起直接和间接心肌损伤的几种机制，潜在的病理生理学仍然未知。一名18岁的女性被转诊到我们的耳鼻咽喉科门诊进行鼻中隔成形术。除了对手术的恐惧，患者没有其他健康问题。局部麻醉（利多卡因和肾上腺素混合物）后，心动过速风暴发生并很快以心脏塌陷结束。进一步评估显示TTC。应该考虑TTC，特别是在心脏复苏后出现治疗抵抗的血流动力学问题的情况下，护士可以在麻醉前阶段发挥关键作用，帮助患者应对与即将到来的手术相关的压力因素。
