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. 2011 Mar 27;3(3):e154-e158.
doi: 10.1016/j.jccase.2011.03.001. eCollection 2011 Jun.

Left ventricular apical ballooning syndrome after pacemaker implantation in a male

Jeremy A Mazurek  1 , Susheel Gundewar  1   2 , Sang Yong Ji  1   2 , Michael Grushko  1   2 , Andrew Krumerman  1   2
Affiliations

Left ventricular apical ballooning syndrome after pacemaker implantation in a male

Jeremy A Mazurek et al. J Cardiol Cases. .

Abstract

Left apical ballooning syndrome, also known as Takotsubo cardiomyopathy (TTC), characterized by transient left ventricular dysfunction is increasingly recognized worldwide. Predominantly affecting females, this condition mimics myocardial infarction and often occurs in the setting of emotional or physical stress. We report the case of a 77-year-old male who was admitted to the hospital for complete heart block and developed TTC after pacemaker implantation. To our knowledge, this is the first report of TTC development after pacemaker implantation in a male.

Keywords: Left ventricular apical ballooning; Male; Pacemaker; Takotsubo cardiomyopathy.

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Figures

Figure 1
Figure 1
Baseline electrocardiogram revealed complete heart block with a ventricular escape at 22 bpm and right bundle branch morphology.
Figure 2
Figure 2
Baseline echocardiogram at end-diastole (A) and end-systole (B) performed in the morning prior to pacemaker implantation revealed normal left ventricular ejection fraction (LVEF) (76%) and no wall motion abnormalities; echocardiogram post-pacemaker implantation at end-diastole (C) and end-systole (D) revealed an LVEF of 32% with mid-apical, interventricular, septal, apical, anterior, and inferior wall akinesis. The majority of these findings resolved within 24 h with complete resolution of all wall motion abnormalities on echocardiography performed at two-month follow-up.
Figure 3
Figure 3
Cardiac angiography. Right anterior oblique view of the left anterior descending (LAD) artery revealed non-obstructive stenosis of the mid-LAD with thrombolysis in myocardial infarction-3 flow. LCx, left circumflex artery.
Figure 4
Figure 4
Ventriculogram at end-diastole (A) and end-systole (B). Ao, aorta; LV, left ventricle.
See this image and copyright information in PMC

References

    1. Kawai S., Suzuki H., Yamaguchi H., Tanaka K., Sawada H., Aizawa T., Watanabe M., Tamura T., Umawatari K., Kawata M., Nakamura T., Yamanaka O., Okada R. Ampulla cardiomyopathy (“Takotsubo” cardiomyopathy) – reversible left ventricular dysfunction with ST segment elevation. Jpn Circ J. 2000;64:156–159. - PubMed
    1. Desmet W.J., Adriaenssens B.F., Dens J.A. Apical ballooning of the left ventricle: first series in white patients. Heart. 2003;89:1027–1031. - PMC - PubMed
    1. Sharkey S.W., Lesser J.R., Zenovich A.G., Maron M.S., Lindberg J., Longe T.F., Maron B.J. Acute and reversible cardiomyopathy provoked by stress in women from the United States. Circulation. 2005;111:472–479. - PubMed
    1. Kurisu S., Inoue I., Kawagoe T., Ishihara M., Shimatani Y., Hata T., Nakama Y., Kijima Y., Kagawa E. Persistent left ventricular dysfunction in takotsubo cardiomyopathy after pacemaker implantation. Circ J. 2006;70:641–644. - PubMed
    1. Chun S.G., Kwok V., Pang D.K., Lau T.K. Transient left ventricular apical ballooning syndrome (takotsubo cardiomyopathy) as a complication of permanent pacemaker implantation. Int J Cardiol. 2007;117:e27–e30. - PubMed

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