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Dewachter, P. et al.

Pascale Dewachter, Claudia Tanase, Eric Levesque, Pascale Nicaise-Roland, Sylvie Chollet-Martin, Claudie Mouton-Faivre, Dan Benhamou,

Apical ballooning syndrome following perioperative anaphylaxis is likely related to high doses of epinephrine.

Apical ballooning syndrome, a reversible left ventricle dysfunction, has been reported following anaphylaxis and, during this clinical circumstance, is seemingly linked to the use of either low or high doses of epinephrine. We report a severe succinylcholine-induced IgE-mediated anaphylaxis in a 65-year-old woman, in whom the diagnosis of apical ballooning syndrome following anaphylaxis was established. As a thorough description of the clinical features and resuscitative measures could be obtained, we discuss the reasons for apical ballooning syndrome occurrence and highlight the fact that optimal care management of anaphylaxis should include a progressive titration of epinephrine.[1]

References

Apical ballooning syndrome following perioperative anaphylaxis is likely related to high doses of epinephrine. Dewachter, P., Tanase, C., Levesque, E., Nicaise-Roland, P., Chollet-Martin, S., Mouton-Faivre, C., Benhamou, D. J. Anesth (2011) [Pubmed]

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