scholarly journals Complete Heart Block Complicating Takotsubo Syndrome: Case Report and Literature Review

2020 ◽  
Vol 2020 ◽  
pp. 1-5
Author(s):  
Michael J. McGee ◽  
William Yu ◽  
Joshua McCarthy ◽  
Malcolm Barlow ◽  
Rosemary Hackworthy
Keyword(s):  
Acute Coronary Syndrome ◽  
Case Report ◽  
Heart Block ◽  
Complete Heart Block ◽  
Final Diagnosis ◽  
Takotsubo Syndrome ◽  
Shortness Of Breath ◽  
Coronary Angiogram ◽  
Coronary Syndrome ◽  
Pacemaker Insertion

An 81-year-old woman presents with shortness of breath resulting in a diagnosis of picornavirus and complete heart block. Troponin was elevated and there was concern about acute coronary syndrome. The final diagnosis after echocardiogram and coronary angiogram was Takotsubo syndrome in addition to the heart block which required pacemaker insertion.

scholarly journals Takotsubo Cardiomyopathy Due to Combined Use of Phentermine and Lisdexamfetamine

2020 ◽  
Author(s):  
Tara Burleigh ◽  
Khandalavala Birgit
Keyword(s):  
Acute Coronary Syndrome ◽  
Case Report ◽  
Left Ventricular ◽  
Ventricular Wall ◽  
Takotsubo Syndrome ◽  
Coronary Syndrome ◽  
First Case ◽  
Combined Use ◽  
Menopausal Women ◽  
Post Menopausal

Objectives: This is the first case report of iatrogenic Takotsubo syndrome (TS) due to a combination of lisdexamfetamine and phentermine. Background: TS is characterized by transient acute ballooning of the left ventricular wall. Typically, it occurs in extremely stressed post-menopausal women, however a few iatrogenic causes have been described recently. Results: A 55-year old woman prescribed lisdexamfetamine and phentermine, presented with acute substernal chest pain. Acute coronary syndrome was excluded. The echocardiogram was diagnostic of TS, and she recovered spontaneously, with supportive care. Conclusion: Caution with the use of sympathomimetic medications in post-menopausal women appears warranted.

Takotsubo syndrome and acute coronary syndrome: case report and literature review

2014 ◽  
Author(s):  
Serpil Yaylaci ◽  
Tuba Cimilli Ozturk ◽  
Mustafa Serinken ◽  
Cenker Eken ◽  
Ozgur Karcioglu
Keyword(s):  
Acute Coronary Syndrome ◽  
Case Report ◽  
Literature Review ◽  
Takotsubo Syndrome ◽  
Coronary Syndrome

scholarly journals SACCULAR CORONARY ANEURYSM PRESENTING AS ACUTE CORONARY SYNDROME WITH ATRIAL FLUTTER AND COMPLETE HEART BLOCK

2019 ◽  
Vol 73 (9) ◽  
pp. 2397
Author(s):  
Jorge Andre Rodriguez-Lozano ◽  
Syed Gilani ◽  
Luba Frank ◽  
Joseph Hornak ◽  
Lin Gao ◽  
...  
Keyword(s):  
Acute Coronary Syndrome ◽  
Atrial Flutter ◽  
Heart Block ◽  
Complete Heart Block ◽  
Coronary Aneurysm ◽  
Coronary Syndrome

Takotsubo Syndrome and Acute Coronary Syndrome: Case Report and Literature Review

2015 ◽  
Vol 14 (1) ◽  
pp. 41-43 ◽  
Author(s):  
Serpil Yaylaci ◽  
Tuba Cimilli Ozturk ◽  
Mustafa Serinken ◽  
Cenker Eken ◽  
Ozgur Karcioglu
Keyword(s):  
Acute Coronary Syndrome ◽  
Case Report ◽  
Literature Review ◽  
Takotsubo Syndrome ◽  
Coronary Syndrome

scholarly journals Atypical Double Right Coronary Artery Presenting With Acute Coronary Syndrome, Cardiogenic Shock and Complete Heart Block

2017 ◽  
Vol 9 (3) ◽  
pp. 221-224 ◽  
Author(s):  
Santosh Kumar Sinha ◽  
Shravan Singh ◽  
Vikash Chaturvedi ◽  
Puneet Agrawal ◽  
Mahmadula Razi ◽  
...  
Keyword(s):  
Acute Coronary Syndrome ◽  
Coronary Artery ◽  
Cardiogenic Shock ◽  
Right Coronary Artery ◽  
Heart Block ◽  
Complete Heart Block ◽  
Coronary Syndrome

scholarly journals Abolishment of high-risk left lateral accessory pathway by myocardial infarction: a blessing in disguise? A case report

2021 ◽  
Vol 5 (2) ◽  
Author(s):  
Jim O’Brien ◽  
Nikola Kozhuharov ◽  
Shui Hao Chin ◽  
Mark Hall
Keyword(s):  
Atrial Fibrillation ◽  
Acute Coronary Syndrome ◽  
Case Report ◽  
High Risk ◽  
Coronary Sinus ◽  
Refractory Period ◽  
Accessory Pathway ◽  
Coronary Syndrome ◽  
Electrophysiology Study ◽  
Anomalous Coronary

Abstract Background Antegradely conducting left lateral accessory pathways are a risk for supraventricular tachycardias and pre-excited atrial fibrillation. Rarely, an anomalous coronary sinus can cause difficulty in locating the pathway. The left circumflex coronary artery and obtuse marginal branches supply the posterolateral left ventricle. We describe a case report of a high-risk accessory pathway associated with an anomalous coronary sinus which, between successive electrophysiology studies, was obliterated by a felicitous acute coronary syndrome in the left circumflex territory. Case summary A 49-year-old male with palpitations and manifest pre-excitation was referred for electrophysiology study. Initial study revealed a high-risk left lateral accessory pathway with antegrade effective refractory period of 240 ms and rapidly conducting pre-excited atrial fibrillation. The coronary sinus could not be cannulated to localize the pathway. Coronary angiography and cardiac computed tomography showed an anomalous coronary sinus emptying into the right atrial free wall and patent coronaries. While awaiting repeat electrophysiology study, the patient suffered an acute coronary syndrome with immediate loss of previously visible pre-excitation on electrocardiogram, and underwent stenting of an occluded marginal branch of the circumflex. Repeat electrophysiology study demonstrated a now low-risk accessory pathway (effective refractory period 390 ms). Since infarction, the patient’s palpitations have fully settled with all subsequent electrocardiograms devoid of manifest pre-excitation. Discussion Left lateral accessory pathways, which can associate with an anomalous coronary sinus, derive from tissue similar to normal ventricular myocardium and are vulnerable to ischaemic insults in the area subtended by the circumflex artery.

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