Takotsubo cardiomyopathy in the setting of complete heart block

Few cases of coincident takotsubo cardiomyopathy and complete heart block (CHB) have been reported. A 62-year-old woman presented with typical chest pain and was found to have CHB with a left ventricular ejection fraction of 35% and apical ballooning on ventriculogram. The patient was transvenously...

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Published in:Proceedings - Baylor University. Medical Center 2018-10, Vol.31 (4), p.502-505
Main Authors: Afzal, Aasim, Watson, John, Choi, James W, Schussler, Jeffrey M, Assar, Manish D
Format: Article
Language:English
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Cardiomyopathy
Cardiovascular disease
Case Report
Disease management
Ejection fraction
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description Few cases of coincident takotsubo cardiomyopathy and complete heart block (CHB) have been reported. A 62-year-old woman presented with typical chest pain and was found to have CHB with a left ventricular ejection fraction of 35% and apical ballooning on ventriculogram. The patient was transvenously paced and a permanent biventricular pacemaker was placed when the CHB did not resolve. Repeat echocardiography 15 days after the event showed the ejection fraction to be 50%. This case highlights management strategies in this unique situation.
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subjects Cardiomyopathy
Cardiovascular disease
Case Report
Disease management
Ejection fraction
title Takotsubo cardiomyopathy in the setting of complete heart block
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