Transient cerebral ischemic attack induced by transient left ventricular apical ballooning.
A 57-year-old woman had transient right hemiplegia 2 days after physical stress. An electrocardiogram exhibited T-wave inversion with QT prolongation. An echocardiogram revealed akinesia of the entire left ventricle except for the basal region. Cranial computed tomography and transthoracic echocardiography revealed an apical thrombus that disappeared 1 month later. Coronary angiography was normal. After 3 months, left ventricular wall motion had completely normalized.
Matsuoka
Koji
K
First Department of Internal Medicine, Mie University School of Medicine, Tsu, Mie, Japan; Section of Cardiology, Department of Internal Medicine, Matsusaka City Hospital, 1550 Tonomachi, Matsusaka, Mie 515-8544, Japan.
Nakayama
Shigeho
S
Okubo
Setsuya
S
Fujii
Eitaro
E
Uchida
Fumiya
F
Nakano
Takeshi
T