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J Invasive Cardiol. 2013 Nov;25(11):E207-9.

Stress-induced cardiomyopathy shortly after pacemaker placement.

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Department of Internal Medicine, 24 Hospital Avenue, Danbury, CT 06810 USA. andremacdias@


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.

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