DOI: 10.12890/2021_002619

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

Authors

  • 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

raquel_cst@yahoo.com

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

  1. Brown K, Trohman R, Madias C. Arrhythmias in takotsubo cardiomyopathy. Card Electrophysiol Clin 2015;7(2):331–340.
  2. Cativo E, Valvani R, Mene-Afejuku T, Cativo D, Mushiyev S. A rare association of Takotsubo cardiomyopathy with high-degree atrioventricular block. Case Rep Cardiol 2017;2017:6989438. doi: 10.1155/2017/6989438
  3. Prasad A, Lerman A, Rihal CS. Apical ballooning syndrome (Takotsubo or stress cardiomyopathy): a mimic of acute myocardial infarction. Am Heart J 2008;155(3):408–417.
  4. Nault A, Baranchuck A, Simpson CS, Redfearn DP. Takotsubo cardiomyopathy: a novel “proarrhythmic” disease. Anadolu Kerdiyol Derg 2007;7(Suppl 1):101–103.

Published

2021-06-01

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 [Internet]. 2021 Jun. 1 [cited 2026 Nov. 3];8(6). Available from: https://ejcrim.com/index.php/ejcrim/article/view/2619

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