Takotsubo syndrome after a minimally invasive tooth extraction in a patient without dental phobia: A case report

Takotsubo syndrome (TTS) is a rare, stress‐induced acute cardiac disorder. Its precipitating factors include emotionally or physically stressful events and exogenous and endogenous adrenaline. In this report, we describe a case of atypical TTS in a 73‐year‐old woman who reported no dental fear and r...

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Bibliographic Details
Published in:Special care in dentistry 2023-03, Vol.43 (2), p.281-285
Main Authors: Takuma, Shigeru, Asaka, Takuya, Kitagawa, Yoshimasa, Fujisawa, Toshiaki
Format: Article
Language:English
Subjects:
Aged
Anesthesia
Angiography
Aorta
Balloon treatment
Blood pressure
Cardiomyopathy
Case reports
Complications
Dental Anxiety
Dental Care
Echocardiography
Echocardiography - adverse effects
Fear & phobias
Female
Health risks
Heart
Humans
Local anesthesia
Sweating
takotsubo cardiomyopathy
Takotsubo Cardiomyopathy - diagnosis
Takotsubo Cardiomyopathy - etiology
takotsubo syndrome
Teeth
tooth extraction
Tooth Extraction - adverse effects
Tooth extractions
ventriculography
Vomiting
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Summary:Takotsubo syndrome (TTS) is a rare, stress‐induced acute cardiac disorder. Its precipitating factors include emotionally or physically stressful events and exogenous and endogenous adrenaline. In this report, we describe a case of atypical TTS in a 73‐year‐old woman who reported no dental fear and required acute cardiac care in an outpatient setting. She underwent routine extraction of an upper left premolar under local anesthesia. She reported heart palpitations after the injection, and the procedure was completed in 15 min. After presenting symptoms of sweating, pale skin, vomiting, low blood pressure, and ST‐segment elevation, cardiologists ordered echocardiography, coronary angiography, and ventriculography. Upon receiving a TTS diagnosis, the patient was hospitalized and administered an intra‐aortic balloon pump and beta‐blocker. Her symptoms resolved, and she was discharged with no sequelae. We found no precipitating factors in the progression of TTS in this case, which suggests that TTS can develop in the absence of precipitating factors. All general dentists and oral surgeons should recognize the possible risk of TTS, even during minimally invasive dental procedures, such as routine extractions in patients without dental phobia.
ISSN:0275-1879
1754-4505
DOI:10.1111/scd.12766