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Takotsubo Syndrome After Pacemaker Implantation: A Case Report and Literature Review.
- Source :
-
The Journal of innovations in cardiac rhythm management [J Innov Card Rhythm Manag] 2024 May 15; Vol. 15 (5), pp. 5852-5856. Date of Electronic Publication: 2024 May 15 (Print Publication: 2024). - Publication Year :
- 2024
-
Abstract
- A 78-year-old male patient with complete atrioventricular block underwent an uncomplicated pacemaker implantation. After 24 h, he presented acute chest pain, dyspnea, ST-segment-elevation in the anterior leads, left ventricular apical ballooning, and an ejection fraction of 35%. His coronary angiogram was normal. Within 2 days, his symptoms and electrocardiogram (ECG) abnormalities disappeared, while wall motion abnormalities recovered after 6 weeks. A diagnosis of takotsubo syndrome (TTS) was made. Pacemaker implantation has been described as a potential trigger for TTS. The clinical picture exhibits some peculiarities, including a higher percentage of men and asymptomatic patients and challenging ST-segment interpretation of paced ECGs. It is unclear whether pathophysiologic mechanisms are different compared to other forms of TTS and whether the acute initiation of ventricular pacing plays a role.<br />Competing Interests: The authors report no conflicts of interest for the published content. No funding information was provided.<br /> (Copyright: © 2024 Innovations in Cardiac Rhythm Management.)
Details
- Language :
- English
- ISSN :
- 2156-3977
- Volume :
- 15
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- The Journal of innovations in cardiac rhythm management
- Publication Type :
- Report
- Accession number :
- 38808172
- Full Text :
- https://doi.org/10.19102/icrm.2024.15051