electrocardiographic abnormalities of takotsubo cardiomyopathy in a patient with paced ventricular rhythm心电图异常,takotsubo心肌病的患者的心室节奏.pdfVIP

SAGE-Hindawi Access to Research Cardiology Research and Practice Volume 2010, Article ID 643832, 3 pages doi:10.4061/2010/643832 Case Report Electrocardiographic Abnormalities of Takotsubo Cardiomyopathy in a Patient with Paced Ventricular Rhythm Krati Chauhan,1 Siva P. Sontineni,2 Venkata M. Alla,2 and Mark J. Holmberg2 1 Department of Medicine, Creighton University, Omaha, NE 68178, USA 2 Division of Cardiology, Creighton University, Omaha, NE 68178, USA Correspondence should be addressed to Krati Chauhan, KratiChauhan@ 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. 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. 1. Introduction inhibitor—recruited as part of a research trial). On examina-