Key result
Conservative management resolves acute pacemaker dysfunction caused by transient apical ballooning syndrome.
Why the study?
Transient cardiac apical ballooning syndrome can mimic acute coronary syndrome and may involve right ventricular dysfunction, but its impact on pacemaker function is not well described.
Case Report (n=1)
Answers are grounded in this paper and cite their sources.
May support conservative management of reversible pacemaker issues in apical ballooning; hypothesis-generating case report requiring prospective validation.
Transient cardiac apical ballooning syndrome (TCABS) is diagnosed by transthoracic echocardiography demonstrating apical akinesis with left ventricular (LV) apical ballooning and preserved mid-to-basal LV systolic function, and left heart catheterization showing the absence of significant obstructive epicardial coronary artery disease. Presenting symptoms are suggestive of an acute coronary syndrome and electrocardiogram findings mimic acute myocardial injury. Right ventricular involvement has been reported. We describe a case of acute pacemaker dysfunction caused by the TCABS, which responded to conservative therapy.
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Wißner et al. (2008) conducted a case report in Transient cardiac apical ballooning syndrome with pacemaker dysfunction (n=1). Conservative therapy was evaluated on Resolution of pacemaker dysfunction. Conservative therapy successfully reversed acute pacemaker dysfunction caused by transient cardiac apical ballooning syndrome.
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