title: Transient left ventricular ballooning (tako-tsubo cardiomyopathy) soon after intravenous ergonovine injection following caesarean delivery.
abstract: Transient left ventricular ballooning also called tako-tsubo syndrome, is increasingly being recognized as cardiomyopathy mimicking the clinical scenario of an acute myocardial infarction. Generally, it is characterized by apical ballooning appearance of the left ventricle in the presence of normal coronary arteries on the angiogram. Recently, a variant form involving the midventricle with sparing of the apical and basal segments has been described. This syndrome is more prevalent in postmenopausal woman and usually preceded by extreme emotional and/or physical stress. We describe a case never reported before of transient left ventricular ballooning occurring during the early postpartum period after ergonovine injection rapidly evolving from a 'typical apical' ballooning into a 'midventricular' myocardial dysfunction.
authors: UO UTIC-Cardiologia, San Luca Hospital. Vallo della Lucania, SA, Italy. rodolfocitro@tele2.it
authors: Rodolfo
authors: R
authors: Citro
authors: Marco
authors: M
authors: Pascotto
authors: Gennaro
authors: G
authors: Provenza
authors: Giovanni
authors: G
authors: Gregorio
authors: Eduardo
authors: E
authors: Bossone
mesh_terms: D000328:Adult; D002585:Cesarean Section; D004874:Ergonovine / Q000008:administration & dosage / Q000009:adverse effects*; D005260:Female; D006801:Humans; D007275:Injections, Intravenous; D010120:Oxytocics / Q000008:administration & dosage / Q000009:adverse effects*; D049590:Postpartum Period; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular; D054549:Takotsubo Cardiomyopathy / Q000139:chemically induced* / Q000175:diagnosis
chemical_list: D010120:Oxytocics; D004874:Ergonovine