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December 2015 Limb leads in a patient with Takotsubo syndrome and a pacemaker
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Vol. 34. Issue 12.
Pages 793 (December 2015)
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Vol. 34. Issue 12.
Pages 793 (December 2015)
Letter to the Editor
DOI: 10.1016/j.repce.2015.12.013
Open Access
Limb leads in a patient with Takotsubo syndrome and a pacemaker
Derivações dos membros num doente com síndrome de Takotsubo e pacemaker
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Iván Javier Núñez-Gil
Corresponding author
ibnsky@yahoo.es

Corresponding author.
, Gisela Ileana Feltes, Hernán Mejía-Rentería, Antonio Fernández-Ortiz
Cardiology Department, Cardiovascular Institute, Hospital Clínico San Carlos, Madrid, Spain
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To the Editor:

We appreciate Dr. Macias’ interest in our article,1 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.2

Usually, the most prominent changes are seen in the precordial leads, reflecting the myocardial segments mainly involved.

On request, we provide all the complete tracings from the case1 (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.

Conflicts of interest

The authors have no conflicts of interest to declare.
References
[1]
I.J. Núñez-Gil, G.I. Feltes, H.D. Mejía-Rentería, et al.
Transient apical dyskinesia with a pacemaker: electrocardiographic features.
Rev Port Cardiol, 34 (2015), pp. 289.e1-289.e4
http://dx.doi.org/10.1016/j.repc.2014.09.008 | Medline
[2]
A. Duran-Cambra, M. Sutil-Vega, M. Fiol, et al.
Systematic review of the electrocardiographic changes in the takotsubo syndrome.
Ann Noninvasive Electrocardiol, 20 (2015), pp. 1-6
http://dx.doi.org/10.1111/anec.12228 | Medline

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