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A case of esophagogastroduodenoscopy induced Takotsubo cardiomyopathy with complete heart block

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Abstract

Takotsubo cardiomyopathy (TC) describes a reversible left ventricular dysfunction characterized by apical ballooning and basal hyperkinesis, commonly triggered by emotional or physical distress. TC associated with an esophagogastroduodenoscopy (EGD) has rarely been reported. We report a case of TC with complete heart block (CHB) in a patient receiving an EGD, who had no underlying cardiac disease, had previously tolerated both local and general anesthesia, and who had previously undergone similar endoscopic procedures without complications. The concurrence of both TC and CHB is unique in this case pertaining to a patient with no significant risk factors. The incidence, mechanism and prognosis of TC-associated arrhythmias are also reviewed.

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Funding

This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors.

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Authors and Affiliations

  1. Division of Gastroenterology and Hepatobiliary Diseases, New York-Presbyterian Brooklyn Methodist Hospital, 506 6th Street, Brooklyn, NY, 11215, USA

    Allison Naiquan Zhang, Debra Guss, Smruti Ranjan Mohanty & Vincent Notar-Francesco

  2. Division of Cardiovascular Diseases, New York-Presbyterian Brooklyn Methodist Hospital, Brooklyn, NY, 11215, USA

    Terrence Sacchi & Rebecca Altschul

Authors
  1. Allison Naiquan Zhang
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  2. Terrence Sacchi
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  3. Rebecca Altschul
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  4. Debra Guss
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  5. Smruti Ranjan Mohanty
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  6. Vincent Notar-Francesco
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Correspondence to Allison Naiquan Zhang.

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All procedures followed have been performed in accordance with the ethical standards laid down in the 1964 Declaration of Helsinki and its later amendments.

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Zhang, A.N., Sacchi, T., Altschul, R. et al. A case of esophagogastroduodenoscopy induced Takotsubo cardiomyopathy with complete heart block. Clin J Gastroenterol 12, 296–300 (2019). https://doi.org/10.1007/s12328-019-00967-x

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  • DOI: https://doi.org/10.1007/s12328-019-00967-x

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