Abstract
We report the case of a 65-year-old woman with complete atrio-ventricular block who underwent orciprenaline administration and pacemaker implantation. The intervention was complicated by pneumothorax and acute left ventricular systolic dysfunction with typical apical ballooning (Tako-Tsubo like syndrome). The patient was treated with diuretics and calcium-sensitizers and completely recovered. We speculate that both external and internal catecholamine triggered an acute left ventricular impairment with typical Tako-Tsubo features.
MeSH terms
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Adrenergic beta-2 Receptor Agonists / administration & dosage
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Aged
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Atrioventricular Block / therapy*
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Catecholamines / metabolism*
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Diuretics / therapeutic use
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Echocardiography
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Female
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Humans
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Hydrazones / therapeutic use
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Metaproterenol / administration & dosage
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Pacemaker, Artificial / adverse effects*
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Pyridazines / therapeutic use
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Simendan
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Systole
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Takotsubo Cardiomyopathy / drug therapy
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Takotsubo Cardiomyopathy / etiology*
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Takotsubo Cardiomyopathy / metabolism
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Ventricular Dysfunction, Left / drug therapy
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Ventricular Dysfunction, Left / etiology
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Ventricular Dysfunction, Left / metabolism
Substances
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Adrenergic beta-2 Receptor Agonists
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Catecholamines
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Diuretics
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Hydrazones
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Pyridazines
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Simendan
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Metaproterenol