{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T06:55:58Z","timestamp":1784876158008,"version":"3.55.0"},"reference-count":13,"publisher":"Oxford University Press (OUP)","issue":"11","license":[{"start":{"date-parts":[[2024,11,5]],"date-time":"2024-11-05T00:00:00Z","timestamp":1730764800000},"content-version":"vor","delay-in-days":4,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,11,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Takotsubo syndrome (TS), traditionally associated with emotional or physical stressors, manifests as transient left ventricular (LV) abnormalities mimicking acute coronary syndrome. Surgical procedures, such as pacemaker implantation, have emerged as potential TS triggers. Conduction system pacing (CSP), including His bundle pacing and left bundle branch area pacing (LBBAP), is a novel technique utilizing the heart's intrinsic conduction system. Despite documented cases of TS post-pacemaker implantation, the literature exploring the association between CSP and TS remains sparse.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Case summary<\/jats:title>\n                  <jats:p>In a case involving a 62-year-old woman with 2:1 atrioventricular block, an uncomplicated de novo LBBAP procedure was followed by post-procedural dizziness and dyspnoea. An initial transthoracic echocardiography revealed moderate\u2013severe LV dysfunction, accompanied by elevated troponin levels. Coronary angiography showed unobstructed coronary arteries, while left ventriculography exhibited a classic apical ballooning. The patient had a favourable recovery, with LV function improvement noted before discharge.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>Takotsubo syndrome may be triggered by other non-traditional physical stressors including traditional RV pacing and LBBAP. Clinicians should be aware of this potential, albeit rare, complication of LBBAP to ensure timely recognition and management. Increased awareness is vital for optimizing patient care during CSP procedures.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytae546","type":"journal-article","created":{"date-parts":[[2024,11,5]],"date-time":"2024-11-05T12:50:51Z","timestamp":1730811051000},"source":"Crossref","is-referenced-by-count":5,"title":["Takotsubo syndrome induced by <i>de novo<\/i> left bundle branch area pacing: a case report"],"prefix":"10.1093","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-6672-2091","authenticated-orcid":false,"given":"Chokanan","family":"Thaitirarot","sequence":"first","affiliation":[{"name":"Department of Cardiology, Glenfield Hospital, University Hospitals of Leicester , Leicester LE3 9QP ,","place":["UK"]},{"name":"Cardiology Centre, Chulabhorn Hospital, Chulabhorn Royal Academy , Bangkok 10210 ,","place":["Thailand"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0226-5083","authenticated-orcid":false,"given":"Shirley","family":"Sze","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Glenfield Hospital, University Hospitals of Leicester , Leicester LE3 9QP ,","place":["UK"]},{"name":"Department of Cardiovascular Sciences, University of Leicester , Leicester LE1 7RH ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmed","family":"Hafez","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Glenfield Hospital, University Hospitals of Leicester , Leicester LE3 9QP ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raj","family":"Rajendra","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Glenfield Hospital, University Hospitals of Leicester , Leicester LE3 9QP ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0107-4146","authenticated-orcid":false,"given":"Mokhtar","family":"Ibrahim","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Glenfield Hospital, University Hospitals of Leicester , Leicester LE3 9QP ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2024,11,5]]},"reference":[{"key":"2024112719221956700_ytae546-B1","doi-asserted-by":"crossref","first-page":"929","DOI":"10.1056\/NEJMoa1406761","article-title":"Clinical features and outcomes of takotsubo (stress) cardiomyopathy","volume":"373","author":"Templin","year":"2015","journal-title":"N Engl J Med"},{"key":"2024112719221956700_ytae546-B2","first-page":"136","article-title":"His-Purkinje conduction system pacing: state of the art in 2020","volume":"9","author":"Arnold","year":"2020","journal-title":"Arrhythm Electrophysiol Rev"},{"key":"2024112719221956700_ytae546-B3","doi-asserted-by":"crossref","first-page":"oeac009","DOI":"10.1093\/ehjopen\/oeac009","article-title":"Takotsubo syndrome and respiratory diseases: a systematic review","volume":"2","author":"Li","year":"2022","journal-title":"Eur Heart J Open"},{"key":"2024112719221956700_ytae546-B4","doi-asserted-by":"crossref","first-page":"933","DOI":"10.1536\/ihj.46.933","article-title":"A case of takotsubo-shaped hypokinesis of the left ventricle caused by a lightning strike","volume":"46","author":"Hayashi","year":"2005","journal-title":"Int Heart J"},{"key":"2024112719221956700_ytae546-B5","doi-asserted-by":"crossref","first-page":"171","DOI":"10.2169\/internalmedicine.44.171","article-title":"Hypoglycemic attack: a rare triggering factor for takotsubo cardiomyopathy","volume":"44","author":"Saito","year":"2005","journal-title":"Intern Med"},{"key":"2024112719221956700_ytae546-B6","first-page":"277","article-title":"Clinical characteristics and cardiovascular magnetic resonance findings in stress (takotsubo) cardiomyopathy","volume":"306","author":"Eitel","year":"2011","journal-title":"JAMA"},{"key":"2024112719221956700_ytae546-B7","first-page":"544","article-title":"2020 ESC guidelines for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation","volume":"74","author":"Collet","year":"2021","journal-title":"Rev Esp Cardiol (Engl Ed)"},{"key":"2024112719221956700_ytae546-B8","doi-asserted-by":"crossref","first-page":"290","DOI":"10.1016\/j.carj.2014.08.001","article-title":"Canadian Heart Rhythm Society and Canadian Association of Radiologists consensus statement on magnetic resonance imaging with cardiac implantable electronic devices","volume":"65","author":"Verma","year":"2014","journal-title":"Can Assoc Radiol J"},{"key":"2024112719221956700_ytae546-B9","doi-asserted-by":"crossref","first-page":"401","DOI":"10.31083\/j.rcm2312401","article-title":"Takotsubo syndrome after pacemaker implantation: a systematic review","volume":"23","author":"Strangio","year":"2022","journal-title":"Rev Cardiovasc Med"},{"key":"2024112719221956700_ytae546-B10","doi-asserted-by":"crossref","first-page":"474","DOI":"10.1016\/j.hrcr.2021.04.003","article-title":"Takotsubo cardiomyopathy after left bundle branch pacing: a case report","volume":"7","author":"Scuotto","year":"2021","journal-title":"HeartRhythm Case Rep"},{"key":"2024112719221956700_ytae546-B11","doi-asserted-by":"crossref","first-page":"e483","DOI":"10.1161\/CIR.0000000000000629","article-title":"Impact of physiologic pacing versus right ventricular pacing among patients with left ventricular ejection fraction greater than 35%: a systematic review for the 2018 ACC\/AHA\/HRS guideline on the evaluation and management of patients with bradycardia and cardiac conduction delay: a report of the American College of Cardiology\/American Heart Association task force on clinical practice guidelines and the Heart Rhythm Society","volume":"140","author":"Slotwiner","year":"2019","journal-title":"Circulation"},{"key":"2024112719221956700_ytae546-B12","doi-asserted-by":"crossref","first-page":"157","DOI":"10.1016\/j.jacc.2019.04.026","article-title":"His corrective pacing or biventricular pacing for cardiac resynchronization in heart failure","volume":"74","author":"Upadhyay","year":"2019","journal-title":"J Am Coll Cardiol"},{"key":"2024112719221956700_ytae546-B13","doi-asserted-by":"crossref","first-page":"1736 e1","DOI":"10.1016\/j.cjca.2017.09.013","article-title":"A novel pacing strategy with low and stable output: pacing the left bundle branch immediately beyond the conduction block","volume":"33","author":"Huang","year":"2017","journal-title":"Can J Cardiol"}],"container-title":["European Heart Journal - Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/ehjcr\/advance-article-pdf\/doi\/10.1093\/ehjcr\/ytae546\/60424338\/ytae546.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ehjcr\/article-pdf\/8\/11\/ytae546\/60666697\/ytae546.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ehjcr\/article-pdf\/8\/11\/ytae546\/60666697\/ytae546.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,27]],"date-time":"2024-11-27T19:23:30Z","timestamp":1732735410000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ehjcr\/article\/doi\/10.1093\/ehjcr\/ytae546\/7876233"}},"subtitle":[],"editor":[{"given":"Patrick","family":"Badertscher","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]},{"given":"Milenko Zoran","family":"Cankovic","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]},{"given":"Peter","family":"H\u00e3mmerle","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]},{"given":"Dejan","family":"Milasinovic","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]},{"given":"Anas Mohamad","family":"Hashem","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2024,11,1]]},"references-count":13,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2024,11,1]]}},"URL":"https:\/\/doi.org\/10.1093\/ehjcr\/ytae546","relation":{},"ISSN":["2514-2119"],"issn-type":[{"value":"2514-2119","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2024,11]]},"published":{"date-parts":[[2024,11,1]]},"article-number":"ytae546"}}