title: Apical ballooning syndrome (Takotsubo Syndrome): case report.
abstract: BACKGROUND
  The apical ballooning syndrome (ABS) is a single reversible cardiomyopathy often triggered by a stressful event. We aimed to present a case report regarding this disorder.
  
  
  METHODS
  Here we present the case of a 77-year-old female hypertensive patient, sedentary and non-smoker, diagnosed with apical ballooning syndrome. We describe the clinical signs and symptoms, changes in markers of myocardial necrosis and changes in the electrocardiogram and coronary angiography.
  
  
  CONCLUSIONS
  The course of events patient showed clinical improvement with treatment and support was not necessary to administer specific medications or interventions to reverse the situation. After hemodynamic stabilization coronary angiography showed no obstructive lesions and left ventricle with akinesia of the apex and the middle portion of the left ventricle.
authors.affiliation: Post-graduate Program in Physical Therapy, Faculty of Sciences and Technology, UNESP, R, Roberto Simonsen, 305, 19060-900, Presidente Prudente, SP, Brazil. lcmvanderlei@fct.unesp.br.
authors.forename: Charles Ulloffo
authors.initials: CU
authors.lastname: do Nascimento
authors.forename: Carlos Eduardo da Costa Nunes
authors.initials: CE
authors.lastname: Bosso
authors.forename: Paulo Henrique
authors.initials: PH
authors.lastname: Jorge
authors.forename: Franciele Marques
authors.initials: FM
authors.lastname: Vanderlei
authors.forename: Henrique Issa Artoni
authors.initials: HI
authors.lastname: Ebaid
authors.forename: Vitor Engrácia
authors.initials: VE
authors.lastname: Valenti
authors.forename: Luiz Carlos Marques
authors.initials: LC
authors.lastname: Vanderlei