Takotsubo syndrome with severe bradycardia initiated by seizure: Is the implantation of a permanent pacemaker necessary?

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 in...

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Detalles Bibliográficos
Autores principales: Imori, Yoichi, Iwasaki, Yu-Ki, Takano, Hitoshi, Shimizu, Wataru
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2018
Materias:
Novel Treatment (New Drug/Intervention; Established Drug/Procedure in New Situation)
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6194446/
https://www.ncbi.nlm.nih.gov/pubmed/30317208
http://dx.doi.org/10.1136/bcr-2018-226480
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author Imori, Yoichi
Iwasaki, Yu-Ki
Takano, Hitoshi
Shimizu, Wataru
author_facet Imori, Yoichi
Iwasaki, Yu-Ki
Takano, Hitoshi
Shimizu, Wataru
author_sort Imori, Yoichi
collection PubMed
description 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.
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spelling pubmed-61944462018-10-24 Takotsubo syndrome with severe bradycardia initiated by seizure: Is the implantation of a permanent pacemaker necessary? Imori, Yoichi Iwasaki, Yu-Ki Takano, Hitoshi Shimizu, Wataru BMJ Case Rep Novel Treatment (New Drug/Intervention; Established Drug/Procedure in New Situation) 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. BMJ Publishing Group 2018-10-12 /pmc/articles/PMC6194446/ /pubmed/30317208 http://dx.doi.org/10.1136/bcr-2018-226480 Text en © BMJ Publishing Group Limited 2018. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
spellingShingle Novel Treatment (New Drug/Intervention; Established Drug/Procedure in New Situation)
Imori, Yoichi
Iwasaki, Yu-Ki
Takano, Hitoshi
Shimizu, Wataru
Takotsubo syndrome with severe bradycardia initiated by seizure: Is the implantation of a permanent pacemaker necessary?
title Takotsubo syndrome with severe bradycardia initiated by seizure: Is the implantation of a permanent pacemaker necessary?
title_full Takotsubo syndrome with severe bradycardia initiated by seizure: Is the implantation of a permanent pacemaker necessary?
title_fullStr Takotsubo syndrome with severe bradycardia initiated by seizure: Is the implantation of a permanent pacemaker necessary?
title_full_unstemmed Takotsubo syndrome with severe bradycardia initiated by seizure: Is the implantation of a permanent pacemaker necessary?
title_short Takotsubo syndrome with severe bradycardia initiated by seizure: Is the implantation of a permanent pacemaker necessary?
title_sort takotsubo syndrome with severe bradycardia initiated by seizure: is the implantation of a permanent pacemaker necessary?
topic Novel Treatment (New Drug/Intervention; Established Drug/Procedure in New Situation)
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6194446/
https://www.ncbi.nlm.nih.gov/pubmed/30317208
http://dx.doi.org/10.1136/bcr-2018-226480
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