Apical Ballooning Syndrome (Takotsubo Cardiomyopathy) after Permanent Dual-Chamber Pacemaker Implantation. (26th August 2012)

• Record Type: Journal Article
• Authors: Gardini, Armando; Fracassi, Francesco; Boldi, Emiliano; Albiero, Remo
• Other Names: Jim M.-H. Academic Editor.; Kasai T. Academic Editor.; Sarullo F. M. Academic Editor.
• Is Part Of: Case reports in cardiology. Volume 2012(2012)
• Publication Date: 2012-08-26
• Subjects: Cardiology -- Periodicals; 616.12005
• DOI: 10.1155/2012/308580
• Languages: English
• ISSNs: 2090-6404

Abstract

Abstract : Apical ballooning syndrome, also called takotsubo cardiomyopathy, has been recently reported. It may mimic acute myocardial infarction and is typically observed in postmenopausal women after stressful events. A 75-year-old female after permanent dual chamber pacemaker implant complained of chest pain with repolarization alterations suggesting acute myocardial ischemia. Echocardiography showed a left ventricle with akinesia of the apical portions and reduced global systolic function. The patient was treated with antithrombotic agents and intravenous nitrates. No coronary lesions were found at angiography. At ventriculography, a typical takotsubo-like shape of the left ventricle was observed. The clinical and echocardiographic picture normalized at discharge.