The Daily Progress Note

Objective: To assess a patient who developed Apical Ballooning Syndrome (ABS) Aim: To evaluate the potential factors leading to ABS Background: Apical Ballooning Syndrome is a cause of reversible cardiomyopathy that usually occurs in postmenopausal women. To date, no single cause of ABS has been identified; rather, ABS appears to be a consequence of multiple factors. Methods: This report evaluates a patient with ABS by comparing her case to the factors believed to contribute to the development of this syndrome. Results: This case involves a postmenopausal woman who developed multivessel coronary vasospasm and ABS while receiving estrogen replacement therapy (type and strength unknown). Conclusion: Further studies are indicated to evaluate the possible relationship between estrogen replacement therapy and the development of ABS in postmenopausal women.