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Published on: December 11, 2017
Takotsubo cardiomyopathy complicated by persistent complete heart block treated with conduction system pacing: A case
Ohanian Antranik1, Nahouli Lara2, D A Sami Augustin3
1Cardiac Electrophysiology Fellow, Centre Hospitalier Moulins-Yzeure, France.
Insights
Takotsubo cardiomyopathy can cause rare heart block. This case highlights pacemaker implantation with conduction system pacing in an elderly patient, even after heart function recovery.
Area of Science:
- Cardiology
- Electrophysiology
- Cardiomyopathy
Background:
- Takotsubo cardiomyopathy is a temporary heart condition often triggered by stress.
- Cardiac complications are common, but heart block is rare.
- Management strategies for heart block in Takotsubo cardiomyopathy are not well-defined.
Abstract:
Takotsubo cardiomyopathy is a transient form of stress-induced cardiomyopathy triggered by emotional or physical stressors. Although cardiac complications occur in nearly half of patients, atrioventricular conduction disturbances are rare, and the optimal management strategy, including the decision regarding pacemaker implantation and its timing, remains uncertain. We report the case of an 80-year-old woman who presented with Takotsubo cardiomyopathy and persistent complete heart block requiring pacemaker implantation with conduction system pacing despite recovery of the left ventricular systolic function.
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