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Stress-induced cardiomyopathy shortly after pacemaker placement
Andre Dias1, Emiliana Franco, Victor Usatii
1Department of Internal Medicine, 24 Hospital Avenue, Danbury, CT 06810 USA. andremacdias@ gmail.com.
The Journal of Invasive Cardiology
|November 5, 2013
Summary
Takotsubo cardiomyopathy (TCM) can occur after pacemaker placement. This rare case highlights the need to consider this trigger, especially in postmenopausal women experiencing chest pain post-procedure.
Area of Science:
- Cardiology
- Cardiovascular Medicine
- Medical Case Reports
Background:
- Takotsubo cardiomyopathy (TCM), or stress-induced cardiomyopathy, is a reversible heart condition typically seen in postmenopausal women following stressful events.
- Its exact mechanisms remain unclear, with theories including catecholamine effects, microvascular issues, and coronary artery spasm.
Observation:
- A rare case of a 72-year-old woman developing TCM after pacemaker implantation is presented.
- The patient experienced typical chest pain symptoms post-procedure.
Findings:
- Uncomplicated pacemaker implantation is identified as a potential, albeit rare, trigger for Takotsubo cardiomyopathy.
- The case underscores the importance of considering procedural stress as a cause of TCM.
Implications:
- Clinicians should consider pacemaker procedures as a potential cause of TCM, particularly in at-risk demographics.
- This recognition can aid in timely diagnosis and management of stress-induced cardiomyopathy following cardiac device implantation.
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