title: [Recurrent episodes of takotsubo-like transient left ventricular ballooning occurring in different regions: a case report].
abstract: A 62-year-old male with emphysema developed recurrent episodes of transient left ventricular ballooning occurring in different regions. Left ventriculography revealed symmetric mid-ventricular ballooning when he was 60 years old, and he also developed mid-ventricular ballooning of larger extent at the age of 62 years. Furthermore, as he was treated for severe asthma attack 3 months later, left ventricular apical ballooning occurred. Echocardiography also demonstrated akinetic wall motion in the right ventricular apex. These episodes showed myocardial infarction-like onset, ST elevations on electrocardiography, no significant increases in cardiac enzymes, wall motion abnormalities incompatible with coronary artery disease, and complete recovery within a few weeks. From these findings, we speculate that the recurrent left ventricular wall motion abnormalities including the mid-ventricular ballooning were so-called takotsubo-like left ventricular dysfunction.
authors.affiliation: Department of Cardiology, National Hospital Organization Kobe Medical Center.
authors.forename: Masatoshi
authors.initials: M
authors.lastname: Shimizu
authors.forename: Yukio
authors.initials: Y
authors.lastname: Kato
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Masai
authors.forename: Takashi
authors.initials: T
authors.lastname: Shima
authors.forename: Yoichi
authors.initials: Y
authors.lastname: Miwa
mesh_terms: D004452:Echocardiography; D004562:Electrocardiography; D006801:Humans; D008297:Male; D008875:Middle Aged; D009200:Myocardial Contraction; D017682:Myocardial Stunning / Q000000981:diagnostic imaging* / Q000503:physiopathology*; D012008:Recurrence; D016277:Ventricular Function, Left / Q000502:physiology