Key result
Permanent dual-chamber pacemaker implantation linked to fully reversible takotsubo cardiomyopathy in a female patient.
Why the study?
Apical ballooning syndrome (takotsubo cardiomyopathy) has been recently reported and may mimic acute myocardial infarction, typically occurring after stressful events.
Case Report (n=1)
Permanent dual-chamber pacemaker implantation can act as a stressful trigger for Takotsubo cardiomyopathy, which may mimic acute myocardial infarction but typically resolves with supportive care.
Answers are grounded in this paper and cite their sources.
Pacemaker implantation may trigger Takotsubo cardiomyopathy in the elderly; this single case leaves open its incidence and need for procedural precautions.
Apical ballooning syndrome, also called takotsubo cardiomyopathy, has been recently reported. It may mimic acute myocardial infarction and is typically observed in postmenopausal women after stressful events. A 75-year-old female after permanent dual chamber pacemaker implant complained of chest pain with repolarization alterations suggesting acute myocardial ischemia. Echocardiography showed a left ventricle with akinesia of the apical portions and reduced global systolic function. The patient was treated with antithrombotic agents and intravenous nitrates. No coronary lesions were found at angiography. At ventriculography, a typical takotsubo-like shape of the left ventricle was observed. The clinical and echocardiographic picture normalized at discharge.
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Gardini et al. (2012) conducted a case report in Apical ballooning syndrome (Takotsubo cardiomyopathy) (n=1). Permanent dual-chamber pacemaker implantation was evaluated on Clinical and echocardiographic presentation and recovery. Permanent dual-chamber pacemaker implantation triggered apical ballooning syndrome (takotsubo cardiomyopathy) in a 75-year-old female, with clinical and echocardiographic normalization at discharge.
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