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Midventricular form of takotsubo cardiomyopathy as a recurrence 1 year after typical apical ballooning: a case report.

Koeth O, Mark B, Zahn R, Zeymer U - Cases J (2008)

Bottom Line: Takotsubo cardiomyopathy was first described in Japan and is characterized by transient left ventricular apical ballooning in the absence of a significant coronary artery disease.Caused by the clinical presentation including chest pain, electrocardiographic changes and elevated myocardial markers this syndrome is frequently misdiagnosed as an acute coronary syndrome.Recurrences of Takotsubo Cardiomyopathy, especially in variant regions of the left ventricle are rareWe describe a midventricular form of Takotsubo Cardiomyopathy as a recurrence 1 year after typical apical ballooning.

View Article: PubMed Central - HTML - PubMed

Affiliation: Herzzentrum Ludwigshafen, Department of Cardiology, Ludwigshafen, Germany. oliver-koeth@web.de.

ABSTRACT
Takotsubo cardiomyopathy was first described in Japan and is characterized by transient left ventricular apical ballooning in the absence of a significant coronary artery disease.Caused by the clinical presentation including chest pain, electrocardiographic changes and elevated myocardial markers this syndrome is frequently misdiagnosed as an acute coronary syndrome. Recurrences of Takotsubo Cardiomyopathy, especially in variant regions of the left ventricle are rareWe describe a midventricular form of Takotsubo Cardiomyopathy as a recurrence 1 year after typical apical ballooning.

No MeSH data available.


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Isolated midventricular ballooning (akinesia anterolateral and diaphragmal).
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Figure 2: Isolated midventricular ballooning (akinesia anterolateral and diaphragmal).

Mentions: An acute Non ST-elevation infarction was suspected based on the clinical presentation including chest pain, electrocardiographic changes and elevated myocardial markers. The patient received aspirin, clopidogrel und unfractionated heparin. Recent angiogram showed an isolated midventricular ballooning (akinesia anterolateral and diaphragmal; Figure 2) and an ejection fraction of 48 %. In both cases the coronary angiography showed a mild coronary artery disease with a 50 % stenosis in the left anterior descending. Contrast enhanced cardiac magnetic resonance imaging excluded myocardial necrosis as well as ischemia in the anterior wall.


Midventricular form of takotsubo cardiomyopathy as a recurrence 1 year after typical apical ballooning: a case report.

Koeth O, Mark B, Zahn R, Zeymer U - Cases J (2008)

Isolated midventricular ballooning (akinesia anterolateral and diaphragmal).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2599899&req=5

Figure 2: Isolated midventricular ballooning (akinesia anterolateral and diaphragmal).
Mentions: An acute Non ST-elevation infarction was suspected based on the clinical presentation including chest pain, electrocardiographic changes and elevated myocardial markers. The patient received aspirin, clopidogrel und unfractionated heparin. Recent angiogram showed an isolated midventricular ballooning (akinesia anterolateral and diaphragmal; Figure 2) and an ejection fraction of 48 %. In both cases the coronary angiography showed a mild coronary artery disease with a 50 % stenosis in the left anterior descending. Contrast enhanced cardiac magnetic resonance imaging excluded myocardial necrosis as well as ischemia in the anterior wall.

Bottom Line: Takotsubo cardiomyopathy was first described in Japan and is characterized by transient left ventricular apical ballooning in the absence of a significant coronary artery disease.Caused by the clinical presentation including chest pain, electrocardiographic changes and elevated myocardial markers this syndrome is frequently misdiagnosed as an acute coronary syndrome.Recurrences of Takotsubo Cardiomyopathy, especially in variant regions of the left ventricle are rareWe describe a midventricular form of Takotsubo Cardiomyopathy as a recurrence 1 year after typical apical ballooning.

View Article: PubMed Central - HTML - PubMed

Affiliation: Herzzentrum Ludwigshafen, Department of Cardiology, Ludwigshafen, Germany. oliver-koeth@web.de.

ABSTRACT
Takotsubo cardiomyopathy was first described in Japan and is characterized by transient left ventricular apical ballooning in the absence of a significant coronary artery disease.Caused by the clinical presentation including chest pain, electrocardiographic changes and elevated myocardial markers this syndrome is frequently misdiagnosed as an acute coronary syndrome. Recurrences of Takotsubo Cardiomyopathy, especially in variant regions of the left ventricle are rareWe describe a midventricular form of Takotsubo Cardiomyopathy as a recurrence 1 year after typical apical ballooning.

No MeSH data available.


Related in: MedlinePlus