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Europace Advance Access published online on October 3, 2009
Europace, doi:10.1093/europace/eup281
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2009. For permissions please email: journals.permissions@oxfordjournals.org

SHORT COMMUNICATION

Tako-tsubo cardiomyopathy in a patient with pacemaker syndrome

Francesco Rotondi*, Fiore Manganelli, Emilio Di Lorenzo, Luciano Marino, Fiore Candelmo, Ferdinando Alfano, Giovanni Stanco and Giuseppe Rosato

Division of Cardiology, ‘San Giuseppe Moscati’ Hospital, Avellino, Italy

We report the case of a 71-year-old woman, with a dual chamber pacemaker (PM), in whom a PM syndrome, due to loss of atrial sensing and pacing, was associated with a tako-tsubo cardiomyopathy (TTC). The repositioning of the atrial lead immediately improved symptoms, whereas complete regression of left ventricular wall motion abnormalities occurred after 1 month. We hypothesize that haemodynamic and hormonal responses associated with a PM syndrome, such as increased levels of catecholamines, may account for TTC in our patient.

* Corresponding author. Tel: +39 338 873 8068, Fax +39 082 520 3239, Email: francesco.rotondi{at}tin.it

Manuscript submitted 21 June 2009. Accepted after revision 4 September 2009.


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