title: [Transient ventricular dysfunction after emotional stress].
abstract: We describe a patient who developed severe ventricular dysfunction and cardiogenic shock after intense emotional stress. Her subsequent course was favorable, with complete recovery of left ventricular systolic function. The coronary arteries were normal and no specific etiologic agent was demonstrated. Her clinical picture was compatible with transient left ventricular apical ballooning. [I123]metaiodobenzyl guanidine cardiac scintigraphy showed a marked decrease in cardiac sympathetic nerve activity. We discuss the pathophysiologic mechanisms of this syndrome.
authors.affiliation: Servicio de Cardiología, Complejo Hospitalario Universitario, Albacete, Spain. jgallegop@secardiologia.es
authors.forename: Juan C
authors.initials: JC
authors.lastname: Gallego Page
authors.forename: Carlos
authors.initials: C
authors.lastname: Lafuente Gormaz
authors.forename: Pablo
authors.initials: P
authors.lastname: Domínguez Rodríguez
authors.forename: Matilde
authors.initials: M
authors.lastname: Cháfer Rudilla
authors.forename: Raquel
authors.initials: R
authors.lastname: Fuentes Manso
authors.forename: Manuel
authors.initials: M
authors.lastname: Aguilera Saldaña
mesh_terms: D000368:Aged; D002317:Cardiovascular Agents / Q000627:therapeutic use; D015150:Echocardiography, Doppler; D004562:Electrocardiography; D005260:Female; D006352:Heart Ventricles / Q000000981:diagnostic imaging / Q000503:physiopathology; D006801:Humans; D012770:Shock, Cardiogenic / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology*; D013315:Stress, Psychological / Q000150:complications*; D015899:Tomography, Emission-Computed, Single-Photon; D016896:Treatment Outcome; D018487:Ventricular Dysfunction, Left / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology*; D016277:Ventricular Function, Left / Q000502:physiology
chemical_list: D002317:Cardiovascular Agents