title: Acute coronary syndrome or apical ballooning syndrome?
abstract: Apical ballooning syndrome (ABS) is uniquely characterized by the acute onset of transient extensive kinesis of the apical and mid portions of the left ventricle without significant epicardial coronary artery stenosis, accompanied by chest symptoms and electrocardiogram changes similar to those of acute coronary syndrome. We report a case of ABS with severe coronary artery stenosis presenting as acute coronary syndrome after emotional stress. ABS should be considered a cause of left ventricular wall motion abnormalities even if a coronary arteriogram shows severe coronary artery stenosis.
authors.affiliation: Department of Cardiology, Keio University School of Medicine, Shinanomahi 35, Shinjuku-ku, Tokyo, Japan. ymaekawa@gmail.com
authors.forename: Yuichiro
authors.initials: Y
authors.lastname: Maekawa
authors.forename: Akio
authors.initials: A
authors.lastname: Kawamura
authors.forename: Shinsuke
authors.initials: S
authors.lastname: Yuasa
authors.forename: Yohei
authors.initials: Y
authors.lastname: Ohno
authors.forename: Takahide
authors.initials: T
authors.lastname: Arai
authors.forename: Keiichi
authors.initials: K
authors.lastname: Fukuda
mesh_terms: D054058:Acute Coronary Syndrome / Q000175:diagnosis* / Q000503:physiopathology / Q000601:surgery; D000368:Aged; D017023:Coronary Angiography; D003937:Diagnosis, Differential; D005260:Female; D006352:Heart Ventricles / Q000503:physiopathology*; D006801:Humans; D062645:Percutaneous Coronary Intervention / Q000379:methods*; D054549:Takotsubo Cardiomyopathy / Q000175:diagnosis*