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Cardiology Research and Practice
Volume 2010 (2010), Article ID 643832, 3 pages
http://dx.doi.org/10.4061/2010/643832
Case Report

Electrocardiographic Abnormalities of Takotsubo Cardiomyopathy in a Patient with Paced Ventricular Rhythm

1Department of Medicine, Creighton University, Omaha, NE 68178, USA
2Division of Cardiology, Creighton University, Omaha, NE 68178, USA

Received 11 March 2010; Revised 25 April 2010; Accepted 26 April 2010

Academic Editor: Josep Brugada

Copyright © 2010 Krati Chauhan 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

Takotsubo cardiomyopathy (TCM) is a unique cardiomyopathy characterized by chest pain, ECG, and regional wall motion abnormalities closely mimicking acute myocardial infarction, in the absence of significant coronary artery disease. Classic ECG changes of TCM include ST elevation or T wave inversion. However, ECG abnormalities of TCM in patients with paced ventricular rhythms have not been well characterized. Herein, we report the case of an 85-year-old pacemaker dependant female who was diagnosed with TCM four weeks following the demise of her husband. Abnormal negative T wave concordance in precordial leads and QT interval prolongation were the only new ECG findings and these reverted back to baseline on followup.