“…Although the underlying mechanism of Takotsubo cardiomyopathy is still not clearly understood, catecholamine surges in response to physiological or psychosomatic stress have been implicated in the onset of the disease (1-3). Recently, a few rare cases without typical apical ballooning have been reported (4,5). We herein report a variant case of Takotsubo cardiomyopathy with midventricular ballooning complicated by complete atrioventricular (AV) block.…”
A 63-year-old woman had mistakenly drunk detergent stored in a plastic bottle and was transported to our hospital via ambulance due to unconsciousness. In the emergency room, the monitoring electrocardiogram showed complete atrioventricular block and temporary pacing was thus started. Left ventriculography indicated midventricular Takotsubo cardiomyopathy, although coronary angiograms showed a normal appearance. The atrioventricular block was transient, and the reduced left ventricular wall motion gradually recovered. An electrophysiological study performed before discharge showed no abnormalities in the atrioventricular conduction system. In conclusion, we experienced a case of mid-ventricular Takotsubo cardiomyopathy complicated by transient complete atrioventricular block.
“…Although the underlying mechanism of Takotsubo cardiomyopathy is still not clearly understood, catecholamine surges in response to physiological or psychosomatic stress have been implicated in the onset of the disease (1-3). Recently, a few rare cases without typical apical ballooning have been reported (4,5). We herein report a variant case of Takotsubo cardiomyopathy with midventricular ballooning complicated by complete atrioventricular (AV) block.…”
A 63-year-old woman had mistakenly drunk detergent stored in a plastic bottle and was transported to our hospital via ambulance due to unconsciousness. In the emergency room, the monitoring electrocardiogram showed complete atrioventricular block and temporary pacing was thus started. Left ventriculography indicated midventricular Takotsubo cardiomyopathy, although coronary angiograms showed a normal appearance. The atrioventricular block was transient, and the reduced left ventricular wall motion gradually recovered. An electrophysiological study performed before discharge showed no abnormalities in the atrioventricular conduction system. In conclusion, we experienced a case of mid-ventricular Takotsubo cardiomyopathy complicated by transient complete atrioventricular block.
“…Several pathofysiological mechanisms have been proposed, including multivessel coronary spasm, catecholamine induced myocardial stunning, coronary emboli with spontaneous fibrinolysis, and myocardial inflammation (Eitel et al, 2010). Recently, variant forms are described, including inverted tako-tsubo and mid-ventricular ballooning cardiomyopathy (Marti et al, 2009;Yasu et al, 2006). In the setting of tako tsubo cardiomyopathy, CMR may identify increased myocardial mass and myocardial edema (using T2-weighted imaging) as well as the normalization of these parameters as the left ventricular dysfunction improves.…”
Section: Ce-cmr In Other Diseases Inducing Cardiomyopathy 351 Tsakomentioning
“…www.intechopen.com Tako-Tsubo Cardiomyopathy: A Recent Clinical Syndrome Mimicking an Acute Coronary Syndrome 109 (Ohtsubo et al, 2005;Hurst et al, 2006;Tamura et al, 2007;Yasu et al, 2006). The fourth type is characterised by a localized wall motion abnormality affecting a segment of the left ventricle wall, usually the anterior wall (Suzuki et al, 2004;Lamm et al, 2007;Mazzarotto et al, 2005;Strunk et al, 2006).…”
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citationsâcitations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.