Letter to the Editor
Limb leads in a patient with Takotsubo syndrome and a pacemaker
Derivações dos membros num doente com síndrome de Takotsubo e pacemaker
Iván Javier Núñez-Gil
, Gisela Ileana Feltes, Hernán Mejía-Rentería, Antonio Fernández-Ortiz
Corresponding author
Cardiology Department, Cardiovascular Institute, Hospital Clínico San Carlos, Madrid, Spain
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"subdocumento" => "cor" "cita" => "Rev Port Cardiol. 2015;34:791" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 1499 "formatos" => array:3 [ "EPUB" => 139 "HTML" => 921 "PDF" => 439 ] ] "en" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>" "titulo" => "Pacemaker electrocardiogram in a patient with Takotsubo syndrome" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "791" ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "Eletrocardiograma num doente com síndrome de Takotsubo e <span class="elsevierStyleItalic">pacemaker</span>" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "John E. 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"apellidos" => "Madias" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S087025511500298X" "doi" => "10.1016/j.repc.2015.09.004" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S087025511500298X?idApp=UINPBA00004E" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2174204915002895?idApp=UINPBA00004E" "url" => "/21742049/0000003400000012/v2_201704020102/S2174204915002895/v2_201704020102/en/main.assets" ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>" "titulo" => "Limb leads in a patient with Takotsubo syndrome and a pacemaker" "tieneTextoCompleto" => true "saludo" => "To the Editor:" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "793" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Iván Javier Núñez-Gil, Gisela Ileana Feltes, Hernán Mejía-Rentería, Antonio Fernández-Ortiz" "autores" => array:4 [ 0 => array:4 [ "nombre" => "Iván Javier" "apellidos" => "Núñez-Gil" "email" => array:1 [ 0 => "ibnsky@yahoo.es" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "Gisela Ileana" "apellidos" => "Feltes" ] 2 => array:2 [ "nombre" => "Hernán" "apellidos" => "Mejía-Rentería" ] 3 => array:2 [ "nombre" => "Antonio" "apellidos" => "Fernández-Ortiz" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Cardiology Department, Cardiovascular Institute, Hospital Clínico San Carlos, Madrid, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "Derivações dos membros num doente com síndrome de Takotsubo e <span class="elsevierStyleItalic">pacemaker</span>" ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We appreciate Dr. Macias’ interest in our article,<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">1</span></a> a case of a woman with Takotsubo syndrome (TTS) displaying visible serial ECG changes despite pacemaker stimulation. TTS has been reported to present various different ECG changes, mainly in repolarization, but also in QRS complexes.<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">2</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall">Usually, the most prominent changes are seen in the precordial leads, reflecting the myocardial segments mainly involved.</p><p id="par0015" class="elsevierStylePara elsevierViewall">On request, we provide all the complete tracings from the case<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">1</span></a> (Figures 1–8). In this patient, transient low voltage QRS complexes and transient attenuation of the amplitude of the QRS complexes were not clearly present.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflicts of interest</span><p id="par0020" class="elsevierStylePara elsevierViewall">The authors have no conflicts of interest to declare.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:2 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Conflicts of interest" ] 1 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:2 [ 0 => array:3 [ "identificador" => "bib0015" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Transient apical dyskinesia with a pacemaker: electrocardiographic features" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "I.J. Núñez-Gil" 1 => "G.I. Feltes" 2 => "H.D. Mejía-Rentería" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.repc.2014.09.008" "Revista" => array:6 [ "tituloSerie" => "Rev Port Cardiol" "fecha" => "2015" "volumen" => "34" "paginaInicial" => "289.e1" "paginaFinal" => "289.e4" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/25840647" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0020" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Systematic review of the electrocardiographic changes in the takotsubo syndrome" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "A. Duran-Cambra" 1 => "M. Sutil-Vega" 2 => "M. Fiol" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1111/anec.12228" "Revista" => array:6 [ "tituloSerie" => "Ann Noninvasive Electrocardiol" "fecha" => "2015" "volumen" => "20" "paginaInicial" => "1" "paginaFinal" => "6" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/25367822" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/21742049/0000003400000012/v2_201704020102/S2174204915002901/v2_201704020102/en/main.assets" "Apartado" => array:4 [ "identificador" => "29282" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Letters to the editor" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/21742049/0000003400000012/v2_201704020102/S2174204915002901/v2_201704020102/en/main.pdf?idApp=UINPBA00004E&text.app=https://revportcardiol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2174204915002901?idApp=UINPBA00004E" ]
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