Recurrent episodes of takotsubo-like transient left ventricular ballooning occurring in different regions: a case report |
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Authors: | Shimizu Masatoshi Kato Yukio Masai Hiroyuki Shima Takashi Miwa Yoichi |
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Affiliation: | Department of Cardiology, National Hospital Organization Kobe Medical Center. |
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Abstract: | A 62-year-old male with emphysema developed recurrent episodes of transient left ventricular ballooning occurring in different regions. Left ventriculography revealed symmetric mid-ventricular ballooning when he was 60 years old, and he also developed mid-ventricular ballooning of larger extent at the age of 62 years. Furthermore, as he was treated for severe asthma attack 3 months later, left ventricular apical ballooning occurred. Echocardiography also demonstrated akinetic wall motion in the right ventricular apex. These episodes showed myocardial infarction-like onset, ST elevations on electrocardiography, no significant increases in cardiac enzymes, wall motion abnormalities incompatible with coronary artery disease, and complete recovery within a few weeks. From these findings, we speculate that the recurrent left ventricular wall motion abnormalities including the mid-ventricular ballooning were so-called takotsubo-like left ventricular dysfunction. |
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