TY - JOUR T1 - Takotsubo syndrome with severe bradycardia initiated by seizure: Is the implantation of a permanent pacemaker necessary? JF - BMJ Case Reports DO - 10.1136/bcr-2018-226480 VL - 2018 SP - bcr-2018-226480 AU - Yoichi Imori AU - Yu-Ki Iwasaki AU - Hitoshi Takano AU - Wataru Shimizu Y1 - 2018/10/12 UR - http://casereports.bmj.com/content/2018/bcr-2018-226480.abstract N2 - Although arrhythmias are frequent in patients with Takotsubo syndrome (TTS), data on sick sinus syndrome remain elusive. Here, we report a case of TTS initiated by a seizure as a physical trigger that led to sinus arrest. The patient presented with cardiogenic shock and bradycardia which required intensive cardiovascular care. However, in the subacute phase of TTS, the sinus function recovered significantly, and pacemaker implantation was deferred. ER -