PMC4008404_01
Evolving ECG aspect: (a) spontaneous sinus rhythm with first-degree AV block and right bundle branch block, (b) early postimplant with dual-chamber pacing, (c) dual-chamber pacing with ST segment elevation in inferior and anterior leads, (d) spontaneous rhythm with PM inhibited and ST segment elevation in inferior and anterior leads, and (e) dual-chamber pacing at discharge with evolving repolarization abnormalities.
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PMC4008404_01_CRIM.CARDIOLOGY2012-308580.001.jpg
fig1
PM ventricular stimulation with ST segment elevation in inferior and anterior leads. PM inhibition showed the preexisting intraventricular conduction disturbance with inferior and anterior ST segment elevation (Figure 1).
Ventriculography showing typical takotsubo-like shape of LV.
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PMC4008404_01_CRIM.CARDIOLOGY2012-308580.002.jpg
fig2
The ventriculography revealed ballooning of apical region with typical so-called takotsubo shape (Figure 2).