Key result
Pulmonary vein cryoablation for AF linked to recurrent takotsubo cardiomyopathy in a single patient.
Why the study?
Recurrent takotsubo cardiomyopathy during cryoablation for atrial fibrillation had not been previously reported, and its recognition is important for management.
Case Report (n=1)
This is the first reported case of recurrent takotsubo cardiomyopathy triggered by cryoablation for atrial fibrillation, highlighting the need for clinical vigilance during the procedure.
Answers are grounded in this paper and cite their sources.
Supports heightened procedural awareness in patients with prior takotsubo cardiomyopathy; extends known triggers but leaves open need for confirmation.
We report a case of 72-year-old female with prior history of takotsubo cardiomyopathy (TSC) who had recurrence of TSC during cryoablation of pulmonary veins for atrial fibrillation (AF) ablation. This case is unique because this is the first report of TSC detected during cryoablation and the procedure being stressor for recurrent TSC. We discuss possible mechanism of TSC and management of this case. Readers would have higher alertness of detecting TSC during AF ablation and therefore would be able to manage this serious condition properly.
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A 2020 study conducted a case report in Takotsubo cardiomyopathy and atrial fibrillation (n=1). Cryoablation of pulmonary veins was evaluated on Recurrence of takotsubo cardiomyopathy. Cryoablation of pulmonary veins for atrial fibrillation triggered recurrent takotsubo cardiomyopathy in a 72-year-old female patient.
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