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CASE REPORT
Takotsubo cardiomyopathy-related complete heart block and torsades de pointes
  1. Faisal Inayat1,
  2. Hafeez Ul Hassan Virk2,
  3. Waqas Ullah3,
  4. Iqra Riaz4
  1. 1New York-Presbyterian Hospital, Weill Cornell Medical College, New York City, New York, USA
  2. 2Mount Sinai St. Luke’s Hospital, Icahn School of Medicine, New York, New York, USA
  3. 3University of Arizona, Tucson, Arizona, USA
  4. 4Mayo Hospital, King Edward Medical University, Lahore, Pakistan
  1. Correspondence to Dr Waqas Ullah, waqasullah.dr{at}gmail.com

Summary

Takotsubo cardiomyopathy (TCM) is a relatively recently recognised clinical entity. It frequently mimics acute coronary syndrome and is accompanied by reversible left ventricular apical ballooning in the absence of angiographically significant coronary artery stenosis. TCM is a reversible condition, and the prognosis is usually well. However, in rare instances, it can be associated with life-threatening arrhythmic complications. Herein, we report the case of a patient with TCM who developed complete atrioventricular block followed by QT prolongation and torsades de pointes. Furthermore, we undertook a literature review of this rare complication of TCM and discussed the formidable therapeutic challenge encountered in such patients.

  • arrhythmias
  • pacing and electrophysiology

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Footnotes

  • Contributors FI and WU did the literature review and wrote the discussion; IR and HUHV wrote the background and case presentation.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.