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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Format: | Article |
Language: | English |
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Elsevier
2018-05-01
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Series: | Indian Pacing and Electrophysiology Journal |
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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. |
first_indexed | 2024-04-11T23:35:37Z |
format | Article |
id | doaj.art-519733f7e2bc4cd880d55d8487be83d3 |
institution | Directory Open Access Journal |
issn | 0972-6292 |
language | English |
last_indexed | 2024-04-11T23:35:37Z |
publishDate | 2018-05-01 |
publisher | Elsevier |
record_format | Article |
series | Indian Pacing and Electrophysiology Journal |
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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