Takotsubo Syndrome after Pacemaker Implantation: A Systematic Review

Background: Takotsubo syndrome (TTS) is an acute cardiac condition characterized by a temporary wall motion abnormality of the left ventricle that mimics coronary (ACS). TTS usually occurs following emotional or physical triggering event. More recently, sporadic cases arising after pacemaker implantation were reported. Methods: We performed systematic review available literature to provide comprehensive overview current knowledge about implantation-induced TTS. Results: The articles selected included case reports and one registry on 28 patients. Most occurred in women (75%), encompassing broad age range. mean described was 74 years. Full recovery function reported most (92.3%), with largely varying times, average 7 weeks. common comorbidity arterial hypertension ejection fraction at admission approximately 62%. Clinical severity ranges from asymptomatic severe clinical heart failure syndrome. Altogether fatality rate 3.6%. Conclusions: For rare it might be, awareness potential develop should prompt careful monitoring, daily electrocardiogram (ECG) monitoring least echocardiographic examination prior patients’ discharge allow early diagnosis minimize risk.