2018
DOI: 10.1016/j.crvasa.2017.04.001
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Cardiac implantable devices and takotsubo syndrome. A rare but potential eventuality

Abstract: Tako-tsubo kardiomyopatie (rovněž stresem navozená kardiomyopatie) je syndrom připomínající akutní infarkt myokardu (AIM); k rozvoji tohoto syndromu často dochází po emoční nebo fyzické zátěži. Popisujeme případ pacientky, u níž došlo k rozvoji tako-tsubo kardiomyopatie, kdy se po implantaci kardiostimulátoru vytvořila koronární píštěl. Tuto možnost musí mít implantující chirurg vždy na mysli; lze jí zabránit vhodným psychologickým screeningem a použitím sedace při vědomí.

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Cited by 15 publications
(13 citation statements)
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“…2 Between patients with heart disease those ones with arrhythmias or a CIED could take an unpredictable clinical course. [9][10][11] In our patients, however, the clinical course was completely different from the expectations. An analysis of our patients' characteristics shows that the husband had a rapid clinical deterioration with high D-dimer (considered at the beginning only as a fi nding compatible with the infection), assuming the signifi cance of pulmonary thromboembolism, 3 which was normal for the wife instead of him.…”
Section: Discussioncontrasting
confidence: 80%
“…2 Between patients with heart disease those ones with arrhythmias or a CIED could take an unpredictable clinical course. [9][10][11] In our patients, however, the clinical course was completely different from the expectations. An analysis of our patients' characteristics shows that the husband had a rapid clinical deterioration with high D-dimer (considered at the beginning only as a fi nding compatible with the infection), assuming the signifi cance of pulmonary thromboembolism, 3 which was normal for the wife instead of him.…”
Section: Discussioncontrasting
confidence: 80%
“…In patients with implanted cardiac devices several conditions leading to HF could complicate the clinical scenario. 8,9 This case is of particular interest because a patient with HF and paroxysmal atrial fi brillation could be prone to inappropriate therapy delivery by the device even by proper device programming. 10 In our case in fact the device was programmed, according to current literature, 10 with a single ventricular fi brillation zone (≥220 bpm) and a single monitor zone (171-219 bpm).…”
Section: Discussionmentioning
confidence: 99%
“…A diagnosis of 'Left-Sided Arrhythmogenic Cardiomyopathy' was made. The patient underwent ICD implantation and started medical therapy with bisoprolol 2.5 mg (BID) and enalapril 5 mg (OD) [8][9][10][11][12][13][14]. He's event-free until now.…”
Section: Case Presentationmentioning
confidence: 99%