Asunto(s)
Endocarditis/diagnóstico , Streptococcus salivarius/aislamiento & purificación , Trombosis/etiología , Reemplazo de la Válvula Aórtica Transcatéter/efectos adversos , Anciano de 80 o más Años , Antibacterianos/uso terapéutico , Estenosis de la Válvula Aórtica , Ceftriaxona/uso terapéutico , Angiografía por Tomografía Computarizada , Embolectomía , Embolia/diagnóstico por imagen , Embolia/cirugía , Endocarditis/tratamiento farmacológico , Endocarditis/microbiología , Resultado Fatal , Gentamicinas/uso terapéutico , Humanos , Masculino , Péptido Natriurético Encefálico/sangre , Fragmentos de Péptidos/sangre , Complicaciones Posoperatorias , Ultrasonografía DopplerRESUMEN
BACKGROUND: Takotsubo cardiomyopathy is a non-ischemic cardiomyopathy characterized by acute left ventricular systolic dysfunction with transient wall motion abnormalities without a culprit coronary stenosis or other concurrent diagnoses. Its coexistence with transient high-degree AV block is very infrequent. CASE PRESENTATION: A 61-year-old man presented with a new onset of high degree AV block without ST segment deviations developing an anterior and apical dyskinesia with a low left ventricular ejection fraction in the absence of coronary artery disease. CONCLUSION: Atrioventricular block is an uncommon presentation of Takotsubo syndrome. The management of patients with relevant conduction disorders in this scenario is a challenge for the clinician. In case of persistence of advanced conduction disorders, it seems appropriate to implant a pacemaker.