High-degree atrioventricular block. An unusual presentation of Takotsubo cardiomyopathy: a case report

Revilla-Martí, P. ; Cueva-Recalde, J.F. (Universidad de Zaragoza) ; Linares-Vicente, J.A. (Universidad de Zaragoza) ; Río-Sánchez, S. ; Ruiz-Arroyo, J.R.

Resumen: Background: Takotsubo cardiomyopathy is a non-ischemic cardiomyopathy characterized by acute left ventricular systolic dysfunction with transient wall motion abnormalities without a culprit coronary stenosis or other concurrent diagnoses. Its coexistence with transient high-degree AV block is very infrequent. Case presentation: A 61-year-old man presented with a new onset of high degree AV block without ST segment deviations developing an anterior and apical dyskinesia with a low left ventricular ejection fraction in the absence of coronary artery disease. Conclusion: Atrioventricular block is an uncommon presentation of Takotsubo syndrome. The management of patients with relevant conduction disorders in this scenario is a challenge for the clinician. In case of persistence of advanced conduction disorders, it seems appropriate to implant a pacemaker.

Idioma: Inglés

DOI: 10.1186/s43044-021-00144-x

Año: 2021

Publicado en: Egyptian Heart Journal 73 (2021), 18 [3 pp]
ISSN: 1110-2608

Factor impacto CITESCORE: 1.4 - Medicine (Q3)

Factor impacto SCIMAGO: 0.304 - Cardiology and Cardiovascular Medicine (Q3)

Tipo y forma: Artículo (Versión definitiva)

Área (Departamento): Area Medicina (Dpto. Medicina, Psiqu. y Derm.)