title: Stress-induced cardiomyopathy shortly after pacemaker placement.
abstract: Takotsubo cardiomyopathy (TCM), also known as transient apical ballooning syndrome or stress-induced cardiomyopathy, is a distinctive reversible condition often affecting postmenopausal women after a stressful event. The underlying mechanisms have not been elucidated yet, but several hypotheses include catecholamine cardiotoxicity, microvascular dysfunction, and coronary artery spasm. We report the rare case of a 72-year-old woman who developed TCM after undergoing pacemaker placement. Our case emphasizes the importance of recognizing uncomplicated pacemaker implementation as a potential cause of TCM. This should be suspected especially in postmenopausal women who complain of typical chest pain after an uncomplicated pacemaker implantation.
authors.affiliation: Department of Internal Medicine, 24 Hospital Avenue, Danbury, CT 06810 USA. andremacdias@ gmail.com.
authors.forename: Andre
authors.initials: A
authors.lastname: Dias
authors.forename: Emiliana
authors.initials: E
authors.lastname: Franco
authors.forename: Victor
authors.initials: V
authors.lastname: Usatii
mesh_terms: D000368:Aged; D054537:Atrioventricular Block / Q000503:physiopathology / Q000628:therapy*; D004452:Echocardiography; D004562:Electrocardiography; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D010138:Pacemaker, Artificial / Q000009:adverse effects*; D054549:Takotsubo Cardiomyopathy / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology