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Case Reports in Cardiology
Volume 2012, Article ID 308580, 3 pages
http://dx.doi.org/10.1155/2012/308580
Case Report

Apical Ballooning Syndrome (Takotsubo Cardiomyopathy) after Permanent Dual-Chamber Pacemaker Implantation

Department of Cardiology, S. Rocco Hospital, Ome, 25050 Brescia, Italy

Received 17 April 2012; Accepted 1 August 2012

Academic Editors: M.-H. Jim, T. Kasai, and F. M. Sarullo

Copyright © 2012 Armando Gardini et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Apical ballooning syndrome, also called takotsubo cardiomyopathy, has been recently reported. It may mimic acute myocardial infarction and is typically observed in postmenopausal women after stressful events. A 75-year-old female after permanent dual chamber pacemaker implant complained of chest pain with repolarization alterations suggesting acute myocardial ischemia. Echocardiography showed a left ventricle with akinesia of the apical portions and reduced global systolic function. The patient was treated with antithrombotic agents and intravenous nitrates. No coronary lesions were found at angiography. At ventriculography, a typical takotsubo-like shape of the left ventricle was observed. The clinical and echocardiographic picture normalized at discharge.