An Unusual Presentation of Takotsubo Cardiomyopathy: A Case Report
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Abstract
Tachyarrhythmias have been well-defined in patients with Takotsubo cardiomyopathy (TTCM) and are estimated to occur in almost 13.5% of patients. However, limited data are available on bradyarrhythmias in patients with TTCM. The pathophysiology, clinical implications, and management are not well defined in this subgroup. We describe a 53-year-old woman presenting with complete heart block with TTCM and a 73-year-old woman presenting with syncope with complete heart block with TTCM. Both had persistent conduction delays despite recovery of ventricular function and eventually required permanent pacemaker implantation. The dependency on pacing was up to 90% in both patients at a 6-month follow-up.
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4. Stiermaier T, Eitel C, Denef S, Desch S, Schuler G, Thiele H, Eitel I. Prevalence and Clinical Significance of Life-Threatening Arrhythmias in Takotsubo Cardiomyopathy. J Am Coll Cardiol 2015;65:2148-2150.
5. Limm BN, Hoo AC, Azuma SS. Variable conduction system disorders in takotsubo cardiomyopathy: a case series. Hawaii J Med Public Health 2014;73:148-151.
6. Korantzopoulos P, Nikas DN, Letsas K, Gkirdis I, Kolios MD, Ntalas IV, Goudevenos JA. High-Grade Atrioventricular Block and Takotsubo Cardiomyopathy: Case Report and Review of the Literature. Int Cardio Res J 2015;9:e11407.
7. Afzal A, Watson J, Choi JW, Schussler JM, Assar MD. Takotsubo cardiomyopathy in the setting of complete heart block. Proc (Bayl Univ Med Cent) 2018;31:502-505.
8. El-Battrawy I, Erath JW, Lang S, Ansari U, Behnes M, Gietzen T, Zhou X, Borggrefe M, Akin I. Takotsubo syndrome and cardiac implantable electronic device therapy. Sci Rep 2019;9:16559
2. Ramphul K, Mejias SG, Sombans S, Sonaye R, Joynauth J. Cardiac arrhythmias associated with Takotsubo cardiomyopathy and ST- segment Elevation Myocardial Infarction (STEMI). Am J Cardiol 2020;127:195.
3. Dote K, Sato H, Tateishi H, Uchida T, Ishihara M. Myocardial stunning due to simultaneous multivessel coronary spasms: a review of 5 cases. J Cardiol 1991;21:203-214.
4. Stiermaier T, Eitel C, Denef S, Desch S, Schuler G, Thiele H, Eitel I. Prevalence and Clinical Significance of Life-Threatening Arrhythmias in Takotsubo Cardiomyopathy. J Am Coll Cardiol 2015;65:2148-2150.
5. Limm BN, Hoo AC, Azuma SS. Variable conduction system disorders in takotsubo cardiomyopathy: a case series. Hawaii J Med Public Health 2014;73:148-151.
6. Korantzopoulos P, Nikas DN, Letsas K, Gkirdis I, Kolios MD, Ntalas IV, Goudevenos JA. High-Grade Atrioventricular Block and Takotsubo Cardiomyopathy: Case Report and Review of the Literature. Int Cardio Res J 2015;9:e11407.
7. Afzal A, Watson J, Choi JW, Schussler JM, Assar MD. Takotsubo cardiomyopathy in the setting of complete heart block. Proc (Bayl Univ Med Cent) 2018;31:502-505.
8. El-Battrawy I, Erath JW, Lang S, Ansari U, Behnes M, Gietzen T, Zhou X, Borggrefe M, Akin I. Takotsubo syndrome and cardiac implantable electronic device therapy. Sci Rep 2019;9:16559
| Files | ||
| Issue | Vol 18 No 4 (2023): J Teh Univ Heart Ctr | |
| Section | Case Report(s) | |
| DOI | https://doi.org/10.18502/jthc.v18i4.14830 | |
| Keywords | ||
| Atrioventricular block Bradycardia Cardiomyopathy Takotsubo | ||
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
Dubey G, Parikh R, Natrajan K, Kanabar K. An Unusual Presentation of Takotsubo Cardiomyopathy: A Case Report. J Tehran Heart Cent. 2023;18(4):298-302.
