A 42-year-old woman developed transient high blood pressure and tachycardia soon after an injection of local anesthetic containing epinephrine during an operation under general anesthesia. Echocardiographic examination revealed a characteristic impaired left ventricular systolic function, which was thus diagnosed as Takotsubo cardiomyopathy. Dopamine was administered for several days because of sustained low blood pressure after the operation, but she gradually recovered without leaving a sequela. Even dermatologists should know that local anesthetic containing epinephrine could cause Takotsubo cardiomyopathy, although it is extremely rare.
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