A Rare Case of Second-degree Atrioventricular Block and Takotsubo Syndrome

  • Raquel Costa Serviço de Medicina Interna, Hospital Conde de Bertiandos, Ponte de Lima, Portugal
  • Joana Fontes Serviço de Medicina Interna, Hospital Conde de Bertiandos, Ponte de Lima, Portugal
  • Tiago Mendes Serviço de Medicina Interna, Hospital Conde de Bertiandos, Ponte de Lima, Portugal
  • Joana Faria Silva Serviço de Medicina Interna, Hospital Conde de Bertiandos, Ponte de Lima, Portugal
  • Bárbara Sousa Serviço de Medicina Interna, Hospital Conde de Bertiandos, Ponte de Lima, Portugal

Keywords

Takotsubo, atrioventricular, pacemaker

Abstract

Background: Takotsubo cardiomyopathy is characterized by transient left systolic dysfunction that can mimic acute myocardial infarction. Atrioventricular (AV) block associated with Takotsubo is rare, but a few cases have been reported in recent years.

Methods: We present the case of a 77-year-old woman presenting with second-degree AV and Takotsubo syndrome.

Results: The diagnosis of Takotsubo syndrome was based on echocardiogram changes and the absence of coronary artery obstruction on coronary angiography.

Conclusions: We describe a patient with a diagnosis of Takotsubo syndrome and AV conduction defect. These conditions rarely occur simultaneous, but when they do, a dilemma arises regarding pacemaker implantation.

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References

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  • Published: 2021-06-01

    Issue: 2021: Vol 8 No 6 (view)

    Section: Articles

    How to cite:
    1.
    Costa R, Fontes J, Mendes T, Faria Silva J, Sousa B. A Rare Case of Second-degree Atrioventricular Block and Takotsubo Syndrome. EJCRIM 2021;8 doi:10.12890/2021_002619.

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