Document Detail


Recurrent left ventricular apical ballooning syndrome in a patient with pheochromocytoma.
MedLine Citation:
PMID:  23449065     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
Transient left ventricular apical ballooning syndrome is characterized by reversible left ventricular wall motion abnormalities, chest pain or dyspnea, ST-segment elevation, and mild elevation of cardiac enzyme levels in the absence of obstructive coronary artery disease. The pathophysiology of the syndrome is still unknown. The probable mechanism is supposed to be a catecholamine discharge. We report the case of a 66-year-old woman with recently diagnosed pheochromocytoma who presented with chest pain and ST-segment elevation. Coronary angiography revealed normal coronaries and apical dyskinesia at ventriculography. A similar episode of chest pain occurred 4 years ago with same angiographic findings and reversible inferobasal akinesia. In-hospital course was uneventful and the patient was discharged from the hospital 4 days later with treatment of aspirin 1 × 100 mg, metoprolol 1 × 50 mg, lisinopril 1 × 10 mg, and atorvastatin 1 × 20 mg. At 2 years follow-up after the event, the patient remained asymptomatic.
Authors:
Huseyin Celebi; Refik Erdim; Kanber Ocal Karabay; Ozlem Yildirimturk; Vedat Aytekin
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The International journal of angiology : official publication of the International College of Angiology, Inc     Volume:  21     ISSN:  1061-1711     ISO Abbreviation:  Int. J. Angiol.     Publication Date:  2012 Mar 
Date Detail:
Created Date:  2013-03-01     Completed Date:  2013-03-04     Revised Date:  2014-02-19    
Medline Journal Info:
Nlm Unique ID:  9504821     Medline TA:  Int J Angiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  63-8     Citation Subset:  -    
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