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Published on: February 17, 2018
Takotsubo cardiomyopathy in the setting of complete heart block
Aasim Afzal1, John Watson1, James W Choi1,2
1Division of Cardiology, Baylor University Medical Center, The Baylor Scott & White Heart Vascular HospitalDallasTexas.
Insights
Takotsubo cardiomyopathy and complete heart block (CHB) are rare together. This case shows successful management of a patient with both conditions using temporary and permanent pacing, leading to improved heart function.
Area of Science:
- Cardiology
- Electrophysiology
- Cardiomyopathy Research
Background:
- Takotsubo cardiomyopathy (TTC) is an acute, reversible heart condition often triggered by emotional or physical stress.
- Complete heart block (CHB) is a serious arrhythmia where the heart's electrical signals are blocked, impairing heart rate.
- The co-occurrence of TTC and CHB is exceptionally rare, presenting unique diagnostic and management challenges.
Abstract:
Few cases of coincident takotsubo cardiomyopathy and complete heart block (CHB) have been reported. A 62-year-old woman presented with typical chest pain and was found to have CHB with a left ventricular ejection fraction of 35% and apical ballooning on ventriculogram. The patient was transvenously paced and a permanent biventricular pacemaker was placed when the CHB did not resolve. Repeat echocardiography 15 days after the event showed the ejection fraction to be 50%. This case highlights management strategies in this unique situation.
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