Takotsubo syndrome after pericardial tamponade following cryoballoon ablation of pulmonary veins for paroxysmal atrial fibrillation and complicated by right coronary artery thrombosis

Hiczkiewicz, Jarosław; Koźluk, Edward; Łojewska, Katarzyna; Budzianowski, Jan; Zimoląg, Rafał; Grydz, Łukasz; Sabiniewicz, Robert

doi:10.5603/cj.2017.0040

Cited by 2 publications

(3 citation statements)

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“…To the best of our knowledge, 8 TTS cases, including ours, were related to PVI with catheter ablation for AF (Table ). [3][4][5][6][7][8][9] Seven patients were female, and all were over 50 years of age; these characteristics were consistent with previous epidemiological studies on TTS. 1) Five patients underwent PVI with RFCA, and the remaining 3 underwent cryoablation.…”

Section: Discussionsupporting

confidence: 89%

“…Fortunately, our patient was almost hemodynamically stable, but other cases have been presented with acute heart failure and pulseless electrical activity. [3][4][5] Although TTS is generally recognized as a benign disease, in some cases, hemodynamic or electrical instability may cause serious in-hospital adverse events, 10) and the potential for ablation-related TTS should be considered equally serious.…”

Section: Discussionmentioning

confidence: 99%

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Tako-Tsubo Syndrome Following Pulmonary Vein Isolation for Atrial Fibrillation in a Patient with Primary Aldosteronism

et al. 2023

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Tako-tsubo syndrome (TTS) can be triggered by emotional or physical stress and is characterized by transient left ventricular dysfunction with apical ballooning. Some neurologic disorders and pheochromocytoma serve as triggers for TTS, however, its association with primary aldosteronism (PA) is not well known. Pulmonary vein isolation (PVI) with catheter ablation for atrial fibrillation (AF) has been performed worldwide, and TTS following PVI has been reported as a rare complication. Sympathetic stimulation can play an important role in TTS development, however, its mechanism and risk factors are not yet understood.We describe a 72-year-old woman with PA who developed TTS after PVI with radiofrequency catheter ablation (RFCA) for symptomatic paroxysmal AF. Complete isolation of the pulmonary vein was carried out without any complications, however, she complained of epigastric discomfort 7 hours after the procedure. An electrocardiogram showed recurrent AF with a new negative-T wave and prolonged QT interval. Transthoracic echocardiography revealed apical ballooning and basal hypercontraction, characteristic of TTS, and coronary angiography showed no significant stenosis. She was diagnosed with TTS following RFCA for AF and managed well with conservative therapy.The present case suggests that TTS should be recognized as a complication associated with AF ablation. Moreover, PA may be involved in TTS development by increasing sympathetic activity. Further studies on the mechanism and characteristics of TTS are required.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 99%

Tako-Tsubo Syndrome Following Pulmonary Vein Isolation for Atrial Fibrillation in a Patient with Primary Aldosteronism

et al. 2023

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“…Takotsubo syndrome has rarely been described after AF ablation. 17 , 18 , 19 , 20 In addition, DBS was disabled for the entire procedure and manifestations of DBS withdrawal range from motor symptoms to life‐threatening events. 21 , 22 To our knowledge, Takotsubo syndrome has never been described after withdrawal of DBS.…”

Section: Discussionmentioning

confidence: 99%

Radiofrequency atrial flutter and atrial fibrillation ablation in a patient with deep brain stimulation

Nguyen,

Ganse,

Berdaoui

et al. 2024

Clinical Case Reports

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Takotsubo syndrome after pericardial tamponade following cryoballoon ablation of pulmonary veins for paroxysmal atrial fibrillation and complicated by right coronary artery thrombosis

Cited by 2 publications

References 0 publications

Tako-Tsubo Syndrome Following Pulmonary Vein Isolation for Atrial Fibrillation in a Patient with Primary Aldosteronism

Tako-Tsubo Syndrome Following Pulmonary Vein Isolation for Atrial Fibrillation in a Patient with Primary Aldosteronism

Radiofrequency atrial flutter and atrial fibrillation ablation in a patient with deep brain stimulation

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