Takotsubo cardiomyopathy after left bundle branch pacing: A case report

Scuotto, Frederico; Albertini, Caio Marcos de Moraes; Lemos, Stefano Garzón Dias; Staico, Rodolfo; Assad, Renato S.; Cirenza, Cláudio

doi:10.1016/j.hrcr.2021.04.003

Cited by 3 publications

(3 citation statements)

References 13 publications

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“…These reports described 13 patients with TTS following pacemaker implantation for AV block (38% men); the correlation between implantation and TTS was less clear because there were other confounding factors, such as the use of isoproterenol before the procedure, concomitant lead extraction, and complications occurring during or shortly after the procedure (ie, pneumothorax, lead dislodgment). Interestingly, in one of these case reports, Scuotto et al 8 described a case of TTS occurring after LBB pacing, which is a much more physiological pacing modality compared to RV apical/septal pacing; the patient was a 93-year-old man who developed TTS and cardiogenic shock immediately after an uncomplicated procedure of extraction of an old malfunctioning RV apical lead and concomitant reimplantation of a new lead in the LBB.…”

Section: Discussionmentioning

confidence: 99%

“…Many questions regarding TTS after pacemaker implantation still remain open, including whether there are predicting factors to risk-stratify patients, but only a multicenter prospective study could provide answers to this and other issues. 2 , 7 , 8 Based on currently available knowledge, despite a benign clinical course in most cases, efforts should be focused on an early diagnosis, also considering a significant percentage of initially asymptomatic cases. An ECG combined with a simple fast echocardiogram before discharge could identify TTS signs, especially in patients deemed at a higher risk of this rare but fearsome complication.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Takotsubo Syndrome After Pacemaker Implantation: A Case Report and Literature Review

DE MARIA,

BORGHI,

CINELLI

et al. 2024

J Innov Cardiac Rhythm Manage.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Takotsubo Syndrome After Pacemaker Implantation: A Case Report and Literature Review

DE MARIA,

BORGHI,

CINELLI

et al. 2024

J Innov Cardiac Rhythm Manage.

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“…Scuotto and colleagues 1 recently published a case report on takotsubo cardiomyopathy (TCM) after left bundle branch pacing in a 93-year-old man. The insertion of a left bundle branch pacing lead took place after extraction of a failing pacing lead implanted 14 years prior.…”

mentioning

confidence: 99%

To the Editor—Left bundle branch pacing as cause for takotsubo cardiomyopathy?

Walsh¹,

Lyne²,

Tuohy

2021

HeartRhythm Case Reports

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Takotsubo syndrome induced by de novo left bundle branch area pacing: a case report

Thaitirarot,

Sze,

Hafez

et al. 2024

European Heart Journal - Case Reports

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Background Takotsubo syndrome (TS), traditionally associated with emotional or physical stressors, manifests as transient left ventricular (LV) abnormalities mimicking acute coronary syndrome. Surgical procedures, such as pacemaker implantation, have emerged as potential TS triggers. Conduction system pacing (CSP), including His bundle pacing (HBP) and left bundle branch area pacing (LBBAP), is a novel technique utilizing the heart's intrinsic conduction system. Despite documented cases of TS post-pacemaker implantation, the literature exploring the association between CSP and TS remains sparse. Case Summary In a case involving a 62-year-old woman with 2:1 atrioventricular block, an uncomplicated de novo LBBAP procedure was followed by post-procedural dizziness and dyspnoea. An initial transthoracic echocardiography (TTE) revealed moderate-severe LV dysfunction, accompanied by elevated troponin levels. Coronary angiography showed unobstructed coronary arteries, whilst left ventriculography exhibited a classic apical ballooning. The patient had a favourable recovery, with LV function improvement noted before discharge. Discussion TS may be triggered by other non-traditional physical stressors including traditional RV pacing and LBBAP. Clinicians should be aware of this potential, albeit rare, complication of LBBAP to ensure timely recognition and management. Increased awareness is vital for optimising patient care during CSP procedures.

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Takotsubo cardiomyopathy after left bundle branch pacing: A case report

Cited by 3 publications

References 13 publications

Takotsubo Syndrome After Pacemaker Implantation: A Case Report and Literature Review

Takotsubo Syndrome After Pacemaker Implantation: A Case Report and Literature Review

To the Editor—Left bundle branch pacing as cause for takotsubo cardiomyopathy?

Takotsubo syndrome induced by de novo left bundle branch area pacing: a case report

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