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A Rare Association of Takotsubo Cardiomyopathy with High-Degree Atrioventricular Block
Joint Authors
Cativo, Eder
Mene-Afejuku, Tuoyo O.
Mushiyev, Savi
Valvani, Rachna
Cativo, Diana P.
Source
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-09-20
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Here we present a case of a patient who got trapped in an elevator; on initial evaluation patient was found with bradycardia; on further evaluation electrocardiogram (EKG) showed new onset 2nd-degree Mobitz type 2 AV block.
On admission patient developed ischemic changes on EKG and troponin elevation.
Transthoracic echocardiogram showed reduced ejection fraction as well as apical inferior, anterior, lateral, and septal hypokinesia.
Coronary angiography showed nonobstructive coronary artery disease and ventriculogram demonstrated anterolateral and apical hypokinesia suggesting takotsubo cardiomyopathy (TCM).
Atrioventricular block (AV) is rarely seen as initial presentation of TCM and has a prevalence of about 2.9%.
AV block during early presentation of TCM poses a therapeutic dilemma with regard to the timing and the need to place a temporary or permanent pacemaker.
The decision to place a permanent pacemaker may be on a case-by-case basis and more research is needed on formulating standardized recommendations in patients with TCM and conduction tissue abnormalities.
American Psychological Association (APA)
Cativo, Eder& Valvani, Rachna& Mene-Afejuku, Tuoyo O.& Cativo, Diana P.& Mushiyev, Savi. 2017. A Rare Association of Takotsubo Cardiomyopathy with High-Degree Atrioventricular Block. Case Reports in Cardiology،Vol. 2017, no. 2017, pp.1-4.
https://search.emarefa.net/detail/BIM-1144147
Modern Language Association (MLA)
Cativo, Eder…[et al.]. A Rare Association of Takotsubo Cardiomyopathy with High-Degree Atrioventricular Block. Case Reports in Cardiology No. 2017 (2017), pp.1-4.
https://search.emarefa.net/detail/BIM-1144147
American Medical Association (AMA)
Cativo, Eder& Valvani, Rachna& Mene-Afejuku, Tuoyo O.& Cativo, Diana P.& Mushiyev, Savi. A Rare Association of Takotsubo Cardiomyopathy with High-Degree Atrioventricular Block. Case Reports in Cardiology. 2017. Vol. 2017, no. 2017, pp.1-4.
https://search.emarefa.net/detail/BIM-1144147
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1144147