Department of Cardiology, Westfriesgasthuis Hospital, Maelsonstraat 3, Hoorn, the Netherlands.
Neth Heart J. 2014 Oct;22(10):456-9. doi: 10.1007/s12471-012-0320-8.
We describe a patient with acute heart failure shortly after pacemaker implantation. With the documentation of typical dyskinesia of the apical segments with hyperdynamic contractility of the basal segments and a normal coronary angiogram, pacemaker implantation-induced Takotsubo cardiomyopathy was diagnosed. Supportive care was administered and within several days the patient's symptoms resolved. After several weeks, the left ventricular function had fully recovered. A review of the literature on Takotsubo cardiomyopathy after pacemaker implantation is presented.
我们描述了一例起搏器植入后不久发生急性心力衰竭的患者。根据心尖段典型运动障碍伴基底段高动力收缩和正常冠状动脉造影的记录,诊断为起搏器植入后导致的 Takotsubo 心肌病。给予支持性治疗,几天后患者症状缓解。数周后,左心室功能完全恢复。本文回顾了起搏器植入后 Takotsubo 心肌病的文献。