Key result
Dual-chamber pacemaker enables independent living at 6 months in Takotsubo syndrome with complete heart block.
Case Report (n=1)
May support pacing in select Takotsubo heart block cases; hypothesis-generating and requires prospective validation.
An 81-year-old woman presents with shortness of breath resulting in a diagnosis of picornavirus and complete heart block. Troponin was elevated and there was concern about acute coronary syndrome. The final diagnosis after echocardiogram and coronary angiogram was Takotsubo syndrome in addition to the heart block which required pacemaker insertion.
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McGee et al. (2020) conducted a case report in Takotsubo syndrome complicated by complete heart block (n=1). Dual chamber pacemaker implantation was evaluated on Clinical recovery and pacemaker function. In an 81-year-old woman with Takotsubo syndrome complicated by complete heart block, dual-chamber pacemaker implantation provided effective ventricular pacing and facilitated independent living at 6 months.
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