Abstract
An 83-year-old female patient with symptomatic atrial fibrillation was referred to the Department of Cardiology for a scheduled electrocardioversion. Because of a junctional escape rhythm after the electrocardioversion she received a DDD pacemaker which was complicated by dyspnoea and ST-segment elevations in the inferior and precordial leads. Because of suspicion of an acute myocardial infarction she was transferred to a PCI centre. The coronary angiogram showed no abnormalities. In the initial phase, an echocardiogram was performed. The echocardiogram showed apical akinesis and a reduced left ventricular function. During follow-up left ventricular function improved and was completely normal nine weeks after the event. The clinical picture was interpreted as a takotsubo cardiomyopathy after a pacemaker implantation. (Neth Heart J 2009;17:487–90.)
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Department of Cardiology, Isala Clinics, Zwolle; currently at Department of Geriatric Medicine, MeanderGroep ZL, Hamboskliniek, Heerlen, the Netherlands
Department of Cardiology, Atrium Medical Centre Parkstad, Heerlen, and University of Maastricht, Maastricht, the Netherlands
R.F. Kohnen Department of Geriatric Medicine, MeanderGroep ZL, Hamboskliniek, PO Box 2690, 6401 DD Heerlen, the Netherlands
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Kohnen, R.F., Baur, L.H.B. A Dutch case of a takotsubo cardiomyopathy after pacemaker implantation. NHJL 17, 487–490 (2009). https://doi.org/10.1007/BF03086309
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DOI: https://doi.org/10.1007/BF03086309