Document Detail

Postpartum depression and apical ballooning syndrome (takotsubo syndrome).
MedLine Citation:
PMID:  19772707     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Acute cardiac complications occur occasionally during pregnancy and in the immediate postpartum period. Some of these cardiac scenarios are rare and provide a diagnostic challenge. We report a case of apical ballooning syndrome (ABS), also known as takotsubo cardiomyopathy or broken-heart syndrome, in a postpartum patient. CASE: A 32-year-old multigravid woman presented at 17 days after delivery with chest pain typical for cardiac ischemic pain. Her prior obstetrical history included two uncomplicated vaginal deliveries, and the current postpartum period had been uncomplicated until the time of presentation. Cardiac catheterization was performed and showed normal coronary blood vessels with no evidence of coronary artery occlusion. Left ventricular systolic function was moderately depressed, with an ejection fraction of 45%. The patient had full recovery of myocardial function in less than 40 days, with a subsequent echocardiogram during that time showing a normal ejection fraction of 65%. CONCLUSION: Apical ballooning syndrome is a rare reversible cardiac condition that should be differentiated from ischemic and peripartum cardiomyopathy, especially in the immediate postpartum period.
Yasir Yaqub; Leigh Ann Jenkins; Kenneth M Nugent; Warangkana Chokesuwattanaskul
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstétrique et gynécologie du Canada : JOGC     Volume:  31     ISSN:  1701-2163     ISO Abbreviation:  J Obstet Gynaecol Can     Publication Date:  2009 Aug 
Date Detail:
Created Date:  2009-09-23     Completed Date:  2009-10-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101126664     Medline TA:  J Obstet Gynaecol Can     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  736-9     Citation Subset:  IM    
Department of Internal Medicine, Texas Tech University Health Science Center, Lubbock, TX, USA.
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MeSH Terms
Depression, Postpartum / physiopathology*
Heart Catheterization
Stroke Volume / physiology
Takotsubo Cardiomyopathy / physiopathology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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