An unusual case of complete atrioventricular block causing Takotsubo syndrome

Complete atrioventricular (AV) block in association with Takotsubo syndrome (TS) has been well recognized, but the cause and effect relationship has not been elucidated. We describe a 78-year-old female who presented with complete AV block but one week later developed new-onset, diffuse T-wave inver...

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Main Authors: Abhishek Rathore, Bharatraj Banavalikar, Jayaprakash Shenthar, Debashish Acharya, Javed Parvez, Kikkeri Hemanna Setty Srinivasa
Format: Article
Language:English
Published: Elsevier 2018-05-01
Series:Indian Pacing and Electrophysiology Journal
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0972629217302279
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author Abhishek Rathore
Bharatraj Banavalikar
Jayaprakash Shenthar
Debashish Acharya
Javed Parvez
Kikkeri Hemanna Setty Srinivasa
author_facet Abhishek Rathore
Bharatraj Banavalikar
Jayaprakash Shenthar
Debashish Acharya
Javed Parvez
Kikkeri Hemanna Setty Srinivasa
author_sort Abhishek Rathore
collection DOAJ
description Complete atrioventricular (AV) block in association with Takotsubo syndrome (TS) has been well recognized, but the cause and effect relationship has not been elucidated. We describe a 78-year-old female who presented with complete AV block but one week later developed new-onset, diffuse T-wave inversions, QT prolongation, and acceleration of junctional escape rate. Left ventriculogram revealed features typical of TS. One year after permanent pacemaker implantation, complete AV block persisted despite the reversal of wall motion defects implying that conduction abnormality was the trigger of TS rather than its consequence.
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spelling doaj.art-519733f7e2bc4cd880d55d8487be83d32022-12-22T03:56:57ZengElsevierIndian Pacing and Electrophysiology Journal0972-62922018-05-0118312312510.1016/j.ipej.2018.01.002An unusual case of complete atrioventricular block causing Takotsubo syndromeAbhishek RathoreBharatraj BanavalikarJayaprakash ShentharDebashish AcharyaJaved ParvezKikkeri Hemanna Setty SrinivasaComplete atrioventricular (AV) block in association with Takotsubo syndrome (TS) has been well recognized, but the cause and effect relationship has not been elucidated. We describe a 78-year-old female who presented with complete AV block but one week later developed new-onset, diffuse T-wave inversions, QT prolongation, and acceleration of junctional escape rate. Left ventriculogram revealed features typical of TS. One year after permanent pacemaker implantation, complete AV block persisted despite the reversal of wall motion defects implying that conduction abnormality was the trigger of TS rather than its consequence.http://www.sciencedirect.com/science/article/pii/S0972629217302279Takotsubo syndromeAtrioventricular blockComplete heart blockPermanent pacemakerTakotsubo cardiomyopathy
spellingShingle Abhishek Rathore
Bharatraj Banavalikar
Jayaprakash Shenthar
Debashish Acharya
Javed Parvez
Kikkeri Hemanna Setty Srinivasa
An unusual case of complete atrioventricular block causing Takotsubo syndrome
Indian Pacing and Electrophysiology Journal
Takotsubo syndrome
Atrioventricular block
Complete heart block
Permanent pacemaker
Takotsubo cardiomyopathy
title An unusual case of complete atrioventricular block causing Takotsubo syndrome
title_full An unusual case of complete atrioventricular block causing Takotsubo syndrome
title_fullStr An unusual case of complete atrioventricular block causing Takotsubo syndrome
title_full_unstemmed An unusual case of complete atrioventricular block causing Takotsubo syndrome
title_short An unusual case of complete atrioventricular block causing Takotsubo syndrome
title_sort unusual case of complete atrioventricular block causing takotsubo syndrome
topic Takotsubo syndrome
Atrioventricular block
Complete heart block
Permanent pacemaker
Takotsubo cardiomyopathy
url http://www.sciencedirect.com/science/article/pii/S0972629217302279
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