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Europace Advance Access originally published online on June 30, 2008
Europace 2008 10(9):1105-1107; doi:10.1093/europace/eun174
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2008. For permissions please email: journals.permissions@oxfordjournals.org

SHORT COMMUNICATIONS

Reversible pacemaker dysfunction in a patient with transient cardiac apical ballooning syndrome: a case report

Erik Wissner, Floyd David Fortuin, Luis R. Scott and Gregory T. Altemose*

Department of Cardiovascular Diseases, Mayo Clinic Arizona, Mayo Clinic Hospital, 5777 East Mayo Boulevard, Phoenix, AZ 85054, USA

Transient cardiac apical ballooning syndrome (TCABS) is diagnosed by transthoracic echocardiography demonstrating apical akinesis with left ventricular (LV) apical ballooning and preserved mid-to-basal LV systolic function, and left heart catheterization showing the absence of significant obstructive epicardial coronary artery disease. Presenting symptoms are suggestive of an acute coronary syndrome and electrocardiogram findings mimic acute myocardial injury. Right ventricular involvement has been reported. We describe a case of acute pacemaker dysfunction caused by the TCABS, which responded to conservative therapy.

Key Words: Transient cardiac apical ballooning syndrome, Pacemaker dysfunction

* Corresponding author. Tel: +1 480 342 0239; fax: +1 480 342 1606. E-mail address: altemose.gregory{at}mayo.edu

Manuscript submitted 17 April 2008. Accepted after revision 8 June 2008.


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