Apical ballooning syndrome: A case report

被引:2
作者
Lampropoulos K.M. [1 ,2 ]
Kotsas D. [1 ]
Iliopoulos T.A. [2 ]
机构
[1] Department of Cardiology, Polyclinic General Hospital of Athens, Athens, 16673, 31, L. Porfyra str
[2] Department of Cardiology, 251 AirForce General Hospital of Athens, Athens
关键词
Acute coronary syndrome; Apical ballooning syndrome; Stress cardiomyopathy;
D O I
10.1186/1756-0500-5-698
中图分类号
学科分类号
摘要
Background: Apical ballooning syndrome mimics acute coronary syndromes and it is characterized by reversible left ventricular apical ballooning in the absence of angiographically significant coronary artery stenosis. Case presentation. This is a case of a 40-year-old Caucasian male without any health related problems that was submitted to an urgent coronary angiography because of acute chest pain and marked precordial T-wave inversions suggestive of acute myocardial ischemia. Coronary angiography showed no significant stenosis of the coronary arteries. Left ventriculography showed systolic apical ballooning with mild basal hypercontraction. Conclusion: Physicians should be aware of the presentation of apical ballooning syndrome, and the chest pain after following acute stress should not be readily attributed to anxiety. © 2012 Lampropoulos et al.; licensee BioMed Central Ltd.
引用
收藏
相关论文
共 13 条
[1]  
Gianni M., Dentali F., Grandi A.M., Sumner G., Hiralal R., Lonn E., Apical ballooning syndrome or takotsubo cardiomyopathy: A systematic review, Eur Heart J, 27, 13, pp. 1523-1529, (2006)
[2]  
Virani S.S., Khan A.N., Mendoza C.E., Ferreira A.C., De Marchena E., Takotsubo cardiomyopathy, or broken-heart syndrome, Tex Heart Inst J, 34, 1, pp. 76-79, (2007)
[3]  
Nobrega S., Brito D., The broken heart syndrome: State of the art, Rev Port Cardiol, 31, 9, pp. 589-596, (2012)
[4]  
Taylor M., Amin A., Bush C., Three-dimensional entertainment as a novel cause of takotsubo cardiomyopathy, Clin Cardiol, 34, pp. 678-680, (2011)
[5]  
Kawai S., Kitabatake A., Tomoike H., Guidelines for diagnosis of takotsubo (ampulla) cardiomyopathy, Circ J, 71, 6, pp. 990-992, (2007)
[6]  
Pilgrim T.M., Wyss T.R., Takotsubo cardiomyopathy or transient left ventricular apical ballooning syndrome: A systematic review, Int J Cardiol, 124, 3, pp. 283-292, (2008)
[7]  
Sharkey S.W., Lesser J.R., Menon M., Parpart M., Maron M.S., Maron B.J., Spectrum and significance of electrocardiographic patterns, troponin levels, and thrombolysis in myocardial infarction frame count in patients with stress (tako-tsubo) cardiomyopathy and comparison to those in patients with ST-elevation anterior wall myocardial infarction, Am J Cardiol, 101, 12, pp. 1723-1728, (2008)
[8]  
Carrillo A., Fiol M., Garcia Niebla J., Bayes De Luna A., Electrocardiographic differential diagnosis between Takotsubo syndrome and distal occlusion of LAD is not easy, J Am Coll Cardiol, 56, 19, pp. 1610-1611, (2010)
[9]  
Kosuge M., Ebina T., Hibi K., Morita S., Okuda J., Iwahashi N., Simple and accurate electrocardiographic criteria to differentiate takotsubo cardiomyopathy from anterior acute myocardial infarction, J Am Coll Cardiol, 55, 22, pp. 2514-2516, (2010)
[10]  
Kurowski V., Kaiser A., Von Hof K., Killermann D.P., Mayer B., Hartmann F., Schunkert H., Radke P.W., Apical and midentricular transient left entricular dysfunction syndrome (tako-tsubo cardiomyopathy): Frequency, mechanisms and prognosis, Chest, 132, (2007)