Angiographic long-term follow-up of primary apical ballooning of the left ventricle

The International Journal of Cardiovascular Imaging
Massimo GiordanFrancesca Di Marco

Abstract

Acute and reversible left ventricular apical wall motion abnormalities presenting with chest pain, electrocardiographic (EKG) changes and cardiac markers release, in the absence of coronary artery stenosis, have already been identified as a possible distinct clinical entity: the so-called Tako-Tsubo syndrome. A 65-year-old man with history of hypertension, hypercholesterolemia and smoking, was admitted at the emergency room of a secondary referral institution with a severe and prolonged (45 min) chest pain, irradiated to the left arm, associated with neurovegetative syndrome. The clinical presentation suggested an acute myocardial infarction (AMI). Interestingly no coronary artery stenoses or vasospasm reaction to administration of acetylcholine could be detected. A slow flow phenomenon was present. The left ventricle angiography confirmed a mild depression of left ventricle systolic function (EF 45%), with akinesia of antero-lateral wall and the typical apical ballooning-like profile. At 3-month follow-up, the patient continued to be asymptomatic and the echocardiogram showed a progressive normalization of left ventricle segmental motion and ejection fraction with a complete restoration only after 6 months. At 1 year the coron...Continue Reading

References

Sep 1, 1994·Journal of the American College of Cardiology·T KonoA Fujiwara
May 3, 2000·Circulation·T OhtsukaK Hiwada
Jan 13, 2001·Mayo Clinic Proceedings·R P VillarealJ M Wilson
Jul 14, 2001·Journal of the American College of Cardiology·K TsuchihashiUNKNOWN Angina Pectoris-Myocardial Infarction Investigations in Japan

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Citations

Jun 2, 2011·Medical Science Monitor : International Medical Journal of Experimental and Clinical Research·Ana María Castillo RiveraLuis Rucabado Aguilar
Dec 7, 2007·Cardiovascular Revascularization Medicine : Including Molecular Interventions·Mohammad-Reza Movahed, Daniel Donohue
Mar 25, 2008·Journal of Emergency Nursing : JEN : Official Publication of the Emergency Department Nurses Association·George L Baxter
Jan 7, 2010·International Journal of Cardiology·Agata Bielecka-DabrowaMaciej Banach
Jul 26, 2014·Medicina·Eglė KazakauskaitėEglė Ereminienė

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