Cardiac implantable devices and Takotsubo syndrome. A rare but potential eventuality

Takotsubo cardiomyopathy is a syndrome which mimics acute myocardial infarction (AMI) occurring often after an emotional or physical stress. We report the case of a female patient who suffered from Takotsubo cardiomyopathy associated to a coronary fistula after pacemaker implantation. Its occurrence should be always remembered by the implanters, avoiding it by an appropriate psychological screening and use of conscious sedation.