1887
Volume 2022, Issue 1
  • ISSN: 0253-8253
  • EISSN: 2227-0426

Abstract

Takotsubo cardiomyopathy is a type of non-ischemic cardiomyopathy that usually appears after a stressful event or in a woman and is rarely seen after pacemaker implantation (PMI). Herein, we present the case of a 65-year-old man with PMI because of a 2:1 atrioventricular nodal block who had a syncopal episode later in the day of the procedure. Echocardiography showed septal and apical hypokinesis with reduced ejection fraction suggestive of takotsubo cardiomyopathy. Before PMI, echocardiography showed normal left ventricular function with no wall-motion abnormality. Coronary angiography showed no coronary artery stenosis. The patient was seen again in the clinic 1 month later, and repeat echocardiography showed improvement of ejection fraction to 55% with no wall-motion abnormality. Generally, the complication rate after PMI is very low and includes infection, hematoma, lead dislocation, or allergic reaction at the site. The clinicians must be aware of potentially rare complications that can occur after PMI, such as takotsubo cardiomyopathy.

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/content/journals/10.5339/qmj.2022.4
2022-02-22
2024-11-12
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References

  1. Gianni M, Dentali F, Grandi AM, Sumner G, Hiralal R, Lonn E. Apical ballooning syndrome or takotsubo cardiomyopathy: a systematic review. Eur Heart J. 2006; 27:(13):1523–1529.
    [Google Scholar]
  2. Kurowski V, Kaiser A, von Hof K, et al. Apical and midventricular transient left ventricular dysfunction syndrome (tako-tsubo cardiomyopathy): frequency, mechanisms, and prognosis. Chest. 2007; 132:(3):809–816.
    [Google Scholar]
  3. Kurisu S, Inoue I, Kawagoe T, et al. Persistent left ventricular dysfunction in takotsubo cardiomyopathy after pacemaker implantation. Circ J. 2006; 70:(5):641–644.
    [Google Scholar]
  4. Prasad A, Lerman A, Rihal CS. Apical ballooning syndrome (tako-tsubo or stress cardiomyopathy): a mimic of acute myocardial infarction. Am Heart J. 2008; 155:(3):408–417.
    [Google Scholar]
  5. Wittstein IS, Thiemann DR, Lima JA, et al. Neurohumoral features of myocardial stunning due to sudden emotional stress. N Engl J Med. 2005; 352:(6):539–548.
    [Google Scholar]
  6. Chun SG, Kwok V, Pang DK, Lau TK. Transient left ventricular apical ballooning syndrome (takotsubo cardiomyopathy) as a complication of permanent pacemaker implantation. Int J Cardiol. 2007; 117:(1):e27–e30.
    [Google Scholar]
  7. Kohnen RF, Baur LH. A Dutch case of a takotsubo cardiomyopathy after pacemaker implantation. Neth Heart J. 2009; 17:(12):487–490.
    [Google Scholar]
  8. Delgado V, Tops LF, Trines SA, et al. Acute effects of right ventricular apical pacing on left ventricular synchrony and mechanics. Circ Arrhythm Electrophysiol. 2009; 2:(2):135–145.
    [Google Scholar]
  9. Nikolaidis LA, Hentosz T, Doverspike A, et al. Mechanisms whereby rapid RV pacing causes LV dysfunction Am J Physiol Heart Circ Physiol. 2001; 281:(6):H2270–H2281.
    [Google Scholar]
  10. Khurshid S, Epstein AE, Verdino RJ, et al. Incidence and predictors of right ventricular pacing-induced cardiomyopathy. Heart Rhythm. 2014; 11:(9):1619–1625.
    [Google Scholar]
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