Takotsubo cardiomyopathy in the setting of complete heart block

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...

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Published inProceedings - Baylor University. Medical Center Vol. 31; no. 4; pp. 502 - 505
Main Authors Afzal, Aasim, Watson, John, Choi, James W., Schussler, Jeffrey M., Assar, Manish D.
Format Journal Article
LanguageEnglish
Published United States Taylor & Francis Ltd 01.10.2018
Taylor & Francis
Subjects
Cardiomyopathy
Cardiovascular disease
Case Report
Disease management
Ejection fraction
Japan
Biventricular pacemaker
takotsubo cardiomyopathy
cardiomyopathy
complete heart block
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ISSN0899-8280
1525-3252
DOI10.1080/08998280.2018.1499314

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Summary: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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Color versions of one or more of the figures in this article can be found online at www.tandfonline.com/ubmc.
ISSN:0899-8280
1525-3252
DOI:10.1080/08998280.2018.1499314