title: Apical ballooning syndrome: a case report.
abstract: BACKGROUND
  Apical ballooning syndrome mimics acute coronary syndromes and it is characterized by reversible left ventricular apical ballooning in the absence of angiographically significant coronary artery stenosis.
  
  
  METHODS
  This is a case of a 40-year-old Caucasian male without any health related problems that was submitted to an urgent coronary angiography because of acute chest pain and marked precordial T-wave inversions suggestive of acute myocardial ischemia. Coronary angiography showed no significant stenosis of the coronary arteries. Left ventriculography showed systolic apical ballooning with mild basal hypercontraction.
  
  
  CONCLUSIONS
  Physicians should be aware of the presentation of apical ballooning syndrome, and the chest pain after following acute stress should not be readily attributed to anxiety.
authors.affiliation: Department of Cardiology, Polyclinic General Hospital of Athens, Athens, 16673, Greece. konlampropoulos@yahoo.gr
authors.forename: Konstantinos M
authors.initials: KM
authors.lastname: Lampropoulos
authors.forename: Dimitrios
authors.initials: D
authors.lastname: Kotsas
authors.forename: Themistoklis A
authors.initials: TA
authors.lastname: Iliopoulos
mesh_terms: D054058:Acute Coronary Syndrome / Q000000981:diagnostic imaging / Q000209:etiology; D000328:Adult; D002317:Cardiovascular Agents / Q000627:therapeutic use; D002637:Chest Pain / Q000209:etiology; D017023:Coronary Angiography; D023921:Coronary Stenosis / Q000150:complications / Q000000981:diagnostic imaging; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D011237:Predictive Value of Tests; D012307:Risk Factors; D013315:Stress, Psychological / Q000150:complications; D054549:Takotsubo Cardiomyopathy / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000209:etiology / Q000523:psychology; D014478:Unemployment / Q000523:psychology
chemical_list: D002317:Cardiovascular Agents