Pacemaker-induced takotsubo cardiomyopathy

Introduction Takotsubo cardiomyopathy (TCM) is a form of acute cardiomyopathy showing left ventricular apical ballooning. Whilst the exact mechanism of TCM remains unknown, it is hypothesized that an excess of circulatory catecholamine's to an exaggerated sympathetic from an intense physical or emotional distress as the cause. We report the rare case of a 76-year-old woman who developed TCM after undergoing uncomplicated pacemaker placement. Although rare this emphasizes that TCM, should be considered as a potential complication of pacemaker implantation in post-menopausal women with chest pain or symptoms of left heart failure.