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

Yoichi Imori; Yu-Ki Iwasaki; Hitoshi Takano; Wataru Shimizu

doi:10.1136/bcr-2018-226480

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

BMJ Case Rep. 2018 Oct 12:2018:bcr2018226480. doi: 10.1136/bcr-2018-226480.

Authors

Yoichi Imori¹, Yu-Ki Iwasaki¹, Hitoshi Takano¹, Wataru Shimizu¹

Affiliation

¹ Department of Cardiovascular Medicine, Nippon Medical School, Bunkyo-ku, Tokyo, Japan.

Abstract

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.

Keywords: Arrhythmias; Heart Failure; Pacing And Electrophysiology.

Publication types

Case Reports

MeSH terms

Aged
Bradycardia / etiology
Conservative Treatment
Coronary Angiography
Diagnosis, Differential
Electrocardiography
Female
Humans
Pacemaker, Artificial
Seizures
Sick Sinus Syndrome / complications
Sick Sinus Syndrome / diagnosis*
Sick Sinus Syndrome / therapy
Takotsubo Cardiomyopathy / complications
Takotsubo Cardiomyopathy / diagnosis*
Takotsubo Cardiomyopathy / therapy