Transient left ventricular basal dysfunction without coronary stenosis in acute cerebral disorders: a novel heart syndrome (inverted Takotsubo).
Myocardial dysfunction without coronary involvement may occur in acute cerebral diseases. We report 4 cases where, in the context of acute cerebral disorder, the echocardiograms revealed an extensive left ventricular circumferential akinesis except at the apex. Besides, for three of those cases no coronary disease has been highlighted. Recognition of such a pattern of LV dysfunction should lead to the search for an acute cerebral disease.
Ennezat
Pierre V
PV
Intensive Care Unit, Cardiology Hospital, Lille, and Cardiology Department, Beaujon Hospital, Clichy (DL, ACS), France. ennezat@yahoo.com
Pesenti-Rossi
David
D
Aubert
Jean Marc
JM
Rachenne
Virginie
V
Bauchart
Jean Jacques
JJ
Auffray
Jean Luc
JL
Logeart
Damien
D
Cohen-Solal
Alain
A
Asseman
Philippe
P
D000208:Acute Disease; D000328:Adult; D001927:Brain Diseases / Q000150:complications* / Q000175:diagnosis; D004452:Echocardiography; D006801:Humans; D008297:Male; D013577:Syndrome; D018487:Ventricular Dysfunction, Left / Q000150:complications* / Q000000981:diagnostic imaging