Publication Type : Journal Article
Publisher : Pacing and Clinical Electrophysiology
Source : Pacing and Clinical Electrophysiology, 2017 May;40(5):596-599. doi: 10.1111/pace.12999. Epub 2017 Jan 22. PMID: 28000218
Url : https://onlinelibrary.wiley.com/doi/10.1111/pace.12999
Campus : Kochi
School : School of Medicine
Department : Cardiology
Year : 2017
Abstract : Background: Atrioventricular (AV) block is rare in Takotsubo cardiomyopathy (TC). Case report: A 66-year-old female presented with fatigue. Her electrocardiogram revealed 3:2 Mobitz Type II AV block, confirmed to be supra-Hisian by electrophysiological study. Echocardiogram and left ventricular angiogram showed moderate left ventricular dysfunction and apical ballooning, whereas coronary angiogram revealed mildly ectatic coronaries. At 2 weeks AV block persisted, needing permanent pacemaker implantation. At 1-month follow-up, she had normal ventricular function and no AV block. Conclusion: Delayed recovery of AV conduction is possible in TC, thus implying to wait for a longer period before implanting a pacemaker.
Cite this Research Publication : Prabhu MA, Pai PG, Vupputuri A, Shekhar S, Harikrishnan MS, Kumaraswamy NU., "Supra-Hisian Conduction Block as an Unusual Presenting Feature of Takotsubo Cardiomyopathy," Pacing and Clinical Electrophysiology, 2017 May;40(5):596-599. doi: 10.1111/pace.12999. Epub 2017 Jan 22. PMID: 28000218