Multiple episodes of a transient global left ventricular dysfunction reminiscent to apical ballooning.
A new cardiac syndrome with transient left ventricular dysfunction has been recently reported and is referred to as Tako-Tsubo cardiomyopathy, which is characterized by a transient akinesia of the apex and compensatory basal hyperkinesis. Today, the etiology remains unknown. We report for the first time of a patient with multiple episodes of a transient global left ventricular dysfunction which is reminiscent to apical ballooning. These episodes were always preceded by severe emotional stress proposing a potential common pathomechanism.
Nef
Holger M
HM
Kerckhoff Heart Center, Department of Cardiology, Bad Nauheim, Germany. h.nef@kerckhoff.mpg.de
Mollmann
Helge
H
Vogt
Achim
A
Weber
Michael
M
Deetjen
Anja
A
Dill
Thorsten
T
Brandt
Roland
R
Hamm
Christian W
CW
Elsässer
Albrecht
A
D009202:Cardiomyopathies / Q000175:diagnosis* / Q000628:therapy; D002404:Catheterization / Q000009:adverse effects / Q000379:methods*; D017023:Coronary Angiography; D003937:Diagnosis, Differential; D004562:Electrocardiography; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D018810:Magnetic Resonance Angiography; D019028:Magnetic Resonance Imaging, Cine; D008875:Middle Aged; D035583:Rare Diseases; D012008:Recurrence; D018570:Risk Assessment; D012720:Severity of Illness Index; D013315:Stress, Psychological; D018487:Ventricular Dysfunction, Left / Q000175:diagnosis* / Q000628:therapy*