Out-of-hospital cardiac arrest caused by transient left ventricular apical ballooning syndrome.
We describe a case of out-of-hospital cardiac arrest due to ventricular fibrillation in a patient with transient left ventricular apical ballooning syndrome. Our report confirms that left ventricular apical ballooning may have the same complications of myocardial infarction, adding the early ventricular fibrillation to the previous findings of left ventricular wall rupture, ventricular arrhythmias during hospitalization and complete atrio-ventricular block. Moreover, left ventricular apical ballooning may have different and unusual clinical onsets, including sudden cardiac death due to ventricular tachyarrhythmias in the absence of associated symptoms. Therefore, in our opinion left ventricular apical ballooning may be considered as a possible cause of sudden death in otherwise healthy women.
Raddino
Riccardo
R
Pedrinazzi
Claudio
C
Zanini
Gregoriana
G
Robba
Debora
D
Portera
Cinzia
C
Bonadei
Ivano
I
Vizzardi
Enrico
E
Dei Cas
Livio
L
D000328:Adult; D017023:Coronary Angiography; D003937:Diagnosis, Differential; D004452:Echocardiography; D004554:Electric Countershock; D004562:Electrocardiography; D005260:Female; D006323:Heart Arrest / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D006801:Humans; D054549:Takotsubo Cardiomyopathy / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D014693:Ventricular Fibrillation / Q000150:complications* / Q000175:diagnosis / Q000628:therapy