RT Journal Article
SR Electronic
T1 Takotsubo syndrome with severe bradycardia initiated by seizure: Is the implantation of a permanent pacemaker necessary?
JF BMJ Case Reports
FD BMJ Publishing Group Ltd
SP bcr-2018-226480
DO 10.1136/bcr-2018-226480
VO 2018
A1 Yoichi Imori
A1 Yu-Ki Iwasaki
A1 Hitoshi Takano
A1 Wataru Shimizu
YR 2018
UL http://casereports.bmj.com/content/2018/bcr-2018-226480.abstract
AB 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.