Takotsubo cardiomyopathy secondary to needle phobia

Takotsubo cardiomyopathy secondary to needle phobia

Published: 06 Jun 2018

© Anaesthesia Cases / 2018-0089 / ISSN 2396-8397

Authors

Dr Matthew Roe [1]
Dr Justin Brown [2]
  • [1] Specialty Registrar, Department of Anaesthesia, The Ipswich Hospital NHS Trust, Ipswich, United Kingdom
  • [2] Consultant, Department of Anaesthesia, The Ipswich Hospital NHS Trust, Ipswich, United Kingdom

Summary

A 55-year-old female scheduled for elective knee arthroscopy became significantly dyspnoeic in the anaesthetic room prior to peripheral venous cannulation. The subsequent clinical course and later investigations led to a diagnosis of takotsubo cardiomyopathy precipitated by needle phobia-induced anxiety. This example highlights a rare but significant manifestation of needle phobia and prompts a discussion about the optimal techniques available to ameliorate the response in the peri-operative period.

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