Abstract

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.

Details

Title
High-degree atrioventricular block. An unusual presentation of Takotsubo cardiomyopathy: a case report
Author
Revilla-Martí, Pablo 1   VIAFID ORCID Logo  ; Cueva-Recalde, Juan F. 1 ; Linares-Vicente, Jose A. 1 ; Río-Sánchez, Sara 1 ; Ruiz-Arroyo, Jose R. 1 

1  Hospital Clínico Universitario “Lozano Blesa”, Cardiology Department, Zaragoza, Spain (GRID:grid.411050.1) (ISNI:0000 0004 1767 4212) 
Pages
18
Publication year
2021
Publication date
Dec 2021
Publisher
Springer Nature B.V.
ISSN
11102608
e-ISSN
2090911X
Source type
Scholarly Journal
Language of publication
English
DOI
https://doi.org/10.1186/s43044-021-00144-x
ProQuest document ID
2729544389
Copyright
© The Author(s) 2021. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.