Document Detail

Transient left midventricular ballooning without apical involvement.
MedLine Citation:
PMID:  17662497     Owner:  NLM     Status:  MEDLINE    
We present a case of a 51-years-old woman with acute chest pain and ECG showing diffuse ST segment deviation who was transferred to our hospital to perform an urgent coronary angiography. There were no significant obstructions and left ventriculography (LVG) showed a midventricular ballooning without the apical dysynergy described previously in Tako-Tsubo or stress-induced cardiomyopathy. She had a favourable hospital course and a new LVG at 30 days showed total normalization of contractility. This recently described new pattern of transient left ventricular dysfunction was probably induced by a great mental stress state that the patient described in the preceding 24-48 h and the intrinsic mechanism could be a direct catecholamine myocardial damage or a microcirculation spasm.
Fernando Botto; Marcelo Trivi; Lucio T Padilla
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Publication Detail:
Type:  Case Reports; Letter     Date:  2007-07-26
Journal Detail:
Title:  International journal of cardiology     Volume:  127     ISSN:  1874-1754     ISO Abbreviation:  Int. J. Cardiol.     Publication Date:  2008 Jul 
Date Detail:
Created Date:  2008-06-30     Completed Date:  2008-11-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8200291     Medline TA:  Int J Cardiol     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  e158-9     Citation Subset:  IM    
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MeSH Terms
Middle Aged
Stress, Psychological / complications,  psychology
Takotsubo Cardiomyopathy / diagnosis*,  etiology,  psychology
Ventricular Dysfunction, Left / diagnosis*,  etiology,  psychology

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