Role of cardiac magnetic resonance in the differential diagnosis of Takotsubo cardiomyopathy

Casavecchia, Graziapia; Gravina, Matteo; Totaro, Antonio; Leva, Riccardo; Vinci, Roberta; Macarini, Luca; Brunetti, Natale Daniele

doi:10.1016/j.ajem.2014.11.040

Cited by 7 publications

(3 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…We hypothesize that myocardial edema commonly found in TC may have transiently influenced pacing threshold, which gradually improved with the recovery of left ventricular function. Significant correlation between QTc, a sign of myocardial edema, and ventricular pacing threshold seems to support this possible link.…”

Section: Discussionmentioning

confidence: 98%

“…To the best of our knowledge, we report one of the first cases of Despite pacing failure is often precipitated by hyperkalemia, 6 in our case, pacing failure was associated with lower potassium levels; either conditions (hypokalemia and hyperkalemia) have been reported in TC. 7 We hypothesize that myocardial edema commonly found in TC 8,9 may have transiently influenced pacing threshold, which gradually improved with the recovery of left ventricular function. Significant correlation between QTc, a sign of myocardial edema, and ventricular pacing threshold seems to support this possible link.…”

Section: Discussionmentioning

confidence: 98%

See 1 more Smart Citation

Delayed ventricular pacing failure and correlations between pacing thresholds, left ventricular ejection fraction, and QTc values in a male with Takotsubo cardiomyopathy

Brunetti

D’Arienzo

Sai

et al. 2018

Clinical Cardiology

Self Cite

View full text Add to dashboard Cite

Background Transient pacing failure caused by transient increased pacing threshold has been reported in patients with transient left ventricular apical dysfunction (Takotsubo cardiomyopathy [TC]). Normal pacing thresholds usually recover after normalization of systolic dysfunction. Hypothesis Pacing failure correlates with clinics of TC. Methods We report the case of a 76‐year‐old man with a dual chamber pacemaker, admitted for acute chest pain and dyspnea and final diagnosis of TC. One month after index admission, the patient came back complaining again of chest pain. Unexpectedly, admission electrocardiogram showed ventricular pacing failure and an increased pacing threshold. In the following weeks, pacing threshold gradually recovered with left ventricular ejection fraction and QTc values. Results Ventricular pacing threshold correlated directly to QTc values and inversely to left ventricular ejection fraction over time (P < 0.05). Conclusions This is one of the first cases of delayed transient ventricular pacing failure in a male patient with transient left ventricular apical ballooning, in the presence of spared right ventricular function. Given the possibility of acute transient anomalies in myocardial impedance and pacing failure even in the subacute phase of TC several weeks after clinical onset of transient systolic dysfunction, pacing threshold should be carefully monitored in subjects with TC, both during the acute phase of the disease and in first months of follow‐up after discharge. Ventricular pacing threshold correlated directly to QTc values and inversely to left ventricular ejection fraction over time.

show abstract

Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 98%

Delayed ventricular pacing failure and correlations between pacing thresholds, left ventricular ejection fraction, and QTc values in a male with Takotsubo cardiomyopathy

Brunetti

D’Arienzo

Sai

et al. 2018

Clinical Cardiology

Self Cite

View full text Add to dashboard Cite

show abstract

“…Moreover, the presence of a trigger such as the lateral AMI and the complete recovery of ventricular abnormalities argues in favor of the TTC hypothesis. Probably a cardiac MRI could have given adjunctive informations [14].…”

Section: International Journal Of Cardiology J O U R N a L H O M E P mentioning

confidence: 99%

Cardioembolic acute myocardial infarction associated with apical ballooning: Considerations

Mele¹,

Martimucci

Maggi³

et al. 2015

International Journal of Cardiology

View full text Add to dashboard Cite

Evaluation of right ventricular function in Takotsubo cardiomyopathy

Chaubey

Chhabra

Kaur

2015

The American Journal of Emergency Medicine

View full text Add to dashboard Cite

Role of cardiac magnetic resonance in the differential diagnosis of Takotsubo cardiomyopathy

Cited by 7 publications

References 9 publications

Delayed ventricular pacing failure and correlations between pacing thresholds, left ventricular ejection fraction, and QTc values in a male with Takotsubo cardiomyopathy

Delayed ventricular pacing failure and correlations between pacing thresholds, left ventricular ejection fraction, and QTc values in a male with Takotsubo cardiomyopathy

Cardioembolic acute myocardial infarction associated with apical ballooning: Considerations

Evaluation of right ventricular function in Takotsubo cardiomyopathy

Contact Info

Product

Resources

About