Document Detail


Transient left ventricular apical ballooning syndrome: the first series in Taiwanese patients.
MedLine Citation:
PMID:  18403460     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Previously thought as exclusive in Japanese patients, cases of transient left ventricular apical ballooning from other countries have also been reported. The cause remains unknown. From January 1997 to December 2005, 25 patients presenting with signs and symptoms of acute myocardial infarction with normal coronary arteries were analyzed. In all, 10 patients fulfilled all the criteria for transient left ventricular apical ballooning. In all, 6 patients had chest pain and diaphoresis, 5 patients had ST segment elevation, 7 had T wave inversions, and 5 had QT prolongation; 6 patients had normal coronary arteries and 4 had insignificant stenosis. In all, 2 patients died of sepsis, whereas the rest recovered. This is the first series in Taiwanese patients. Our series showed male preponderance, and most patients recovered with supportive treatment. Without any delineating preangiographic feature differentiating it from acute myocardial infarction, any patient should be treated as a case of myocardial infarction until proven otherwise.
Authors:
Ching-Chang Fang; Yeun Tarl Fresner Ng Jao; Yi-Chen; Ching-Lung Yu; Chi-Liang Chen; Shih-Pu Wang
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Angiology     Volume:  59     ISSN:  0003-3197     ISO Abbreviation:  Angiology     Publication Date:    2008 Apr-May
Date Detail:
Created Date:  2008-04-11     Completed Date:  2008-06-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0203706     Medline TA:  Angiology     Country:  United States    
Other Details:
Languages:  eng     Pagination:  185-92     Citation Subset:  IM    
Affiliation:
Cardiovascular Center, Tainan Municipal Hospital, Tainan, Taiwan.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Anticoagulants / therapeutic use
Chest Pain / etiology
Coronary Angiography
Coronary Stenosis / radiography
Electrocardiography
Female
Heart Ventricles / radiography,  ultrasonography
Heparin / therapeutic use
Humans
Male
Platelet Aggregation Inhibitors / therapeutic use
Retrospective Studies
Stroke Volume
Sweating
Taiwan
Takotsubo Cardiomyopathy / diagnosis*,  drug therapy
Chemical
Reg. No./Substance:
0/Anticoagulants; 0/Platelet Aggregation Inhibitors; 9005-49-6/Heparin

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