An unusual case of complete atrioventricular block causing Takotsubo syndrome

An unusual case of complete atrioventricular block causing Takotsubo syndrome

Complete atrioventricular (AV) block in association with Takotsubo syndrome (TS) has been well recognized, but the cause and effect relationship has not been elucidated. We describe a 78-year-old female who presented with complete AV block but one week later developed new-onset, diffuse T-wave inver...

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Bibliographic Details
Main Authors: Abhishek Rathore, Bharatraj Banavalikar, Jayaprakash Shenthar, Debashish Acharya, Javed Parvez, Kikkeri Hemanna Setty Srinivasa
Format: Article
Language:English
Published: Elsevier 2018-05-01
Series:Indian Pacing and Electrophysiology Journal
Subjects:
Takotsubo syndrome
Atrioventricular block
Complete heart block
Permanent pacemaker
Takotsubo cardiomyopathy
Online Access:http://www.sciencedirect.com/science/article/pii/S0972629217302279
Description
Summary:Complete atrioventricular (AV) block in association with Takotsubo syndrome (TS) has been well recognized, but the cause and effect relationship has not been elucidated. We describe a 78-year-old female who presented with complete AV block but one week later developed new-onset, diffuse T-wave inversions, QT prolongation, and acceleration of junctional escape rate. Left ventriculogram revealed features typical of TS. One year after permanent pacemaker implantation, complete AV block persisted despite the reversal of wall motion defects implying that conduction abnormality was the trigger of TS rather than its consequence.
ISSN:0972-6292

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