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conferenceseries .com
6th World Congress on
October 16-18, 2017 | San Francisco, USA
Breast Cancer & Therapy
Volume 2, Issue 5 (Suppl) Breast Can Curr Res, an open access journal Breast Cancer Congress 2017
October 16-18, 2017
Peri-operative takotsubo cardiomyopathy: Are breast cancer patients at higher risk?
January Tsai, Jeff Cerny, Spencer Kee, Farzin Goravanchi, Alicia Kowalski and Elizabeth Rebello
MD Anderson Cancer Center, USA
Stressful events (ie surgical intervention) are known to be associated with physiologic insults. Takotsubo Cardiomyopathy (TC)
is a reversible, stress-induced, non-ischemic cardiomyopathy associated with temporary weakness of the myocardium and
midventricular or apical ballooning. Angina, ST abnormalities, elevated troponins, ventricular asynergy, congestive heart failure
(CHF), and decreased ejection fraction (EF) are all components of TC. The unique finding is that they occur on the absence of
occlusive coronary artery disease (CAD). In this case presentation with institutional review board (IRB) approval we report a case
of post-operative cardiac symptoms that all resulted in a diagnosis of TC, and identify the pathology associated with the condition.
The etiology of TC is unclear. However, evidence points to activation of the sympathetic nervous system: patients are found to have
high levels of circulating catecholamines, up to 7-34 times the normal value, compared to 2-3 times the normal level for patients
experiencing acute this case presentation with institutional review board (IRB) approval we report a case of post-operative
cardiac symptoms that resulted in a diagnosis of TC, and we identify the pathology associated with the condition.
Biography
January Tsai, MD obtained her undergraduate degree from the University of Texas in Austin, with Honors, and her MD from University of Michigan Medical School in Ann
Arbor, Michigan. After completing Anesthesiology residency at the University of Texas Health Science Center in Houston, Texas, Dr. Tsai completed a Cardiothoracic An-
esthesia Fellowship at Texas Heart Institute. She has dedicated her entire career to the patients in the Texas Medical Center. She serves as the Departmental Liaison to
the MD Anderson Women & Diversity Inclusion Council. She has lectured nationally and internationally, and has published more than 30 papers in peer reviewed journals.
January Tsai et al., Breast Can Curr Res 2017, 2:5 (Suppl)
DOI: 10.4172/2572-4118-C1-011