title: Transient left ventricular apical ballooning syndrome caused by abrupt metoprolol withdrawal.
abstract: Transient Left Ventricular Apical Ballooning Syndrome (TLVABS) has been described to occur in response to number of stressful events, drug effects or drug withdrawal. Withdrawal of beta blockade has not been described to precipitate TLVABS. We are describing a case of TLVABS developing after abrupt withdrawal of metoprolol.
authors.forename: Dane
authors.initials: D
authors.lastname: Jefic
authors.forename: Deepak
authors.initials: D
authors.lastname: Koul
authors.forename: Andrzej
authors.initials: A
authors.lastname: Boguszewski
authors.forename: Wisam
authors.initials: W
authors.lastname: Martini
mesh_terms: D002312:Cardiomyopathy, Hypertrophic / Q000139:chemically induced / Q000175:diagnosis / Q000503:physiopathology; D005260:Female; D006801:Humans; D008790:Metoprolol / Q000008:administration & dosage / Q000009:adverse effects*; D008875:Middle Aged; D013375:Substance Withdrawal Syndrome / Q000175:diagnosis* / Q000503:physiopathology; D054549:Takotsubo Cardiomyopathy / Q000139:chemically induced* / Q000175:diagnosis* / Q000503:physiopathology; D013997:Time Factors; D018487:Ventricular Dysfunction, Left / Q000139:chemically induced / Q000175:diagnosis / Q000503:physiopathology
chemical_list: D008790:Metoprolol