A new cardiac syndrome exhibiting transient left ventricular (LV) apical ballooning has been widely described in Japan. Conversely, there are few series outside Japan. 2 This syndrome usually affects elderly women, frequently preceded by emotional/physical stress. 2 These patients present with chest pain, ECG abnormalities, and minimal enzymatic release, mimicking an anterior wall acute coronar...

Abstract Takotsubo syndrome occurs in 1-2% of patients admitted the emergency department with suspicion ST-segment elevation myocardial infarction (STEMI), over 90% being postmenopause women. Psycho-emotional or physical stress is main trigger that causes release catecholamines, an important role pathophysiology cardiomyopathy. In most cases, supportive and symptomatic treatment sufficient, a d...

ABS is a unique acute cardiac syndrome and a recently recognized form of transient left ventricular dysfunction. It mimics ACS in clinical presentation (chest pain and dyspnea) and specific ECHO findings in the absence of significant coronary lesions. This rare entity accounts for 2.2% of ST segment elevation ACS. Pathophysiology mostly correlates to stress-induced catecholamine release. The sy...

Takotsubo cardiomyopathy (TC) is a transient left ventricular apical ballooning syndrome which results in an acute, reversible, left ventricular dysfunction. Unlike a myocardial ischemia, TC is not due to coronary artery stenosis. Initially the syndrome was described by a series of five Japanese patients in 1991 [1] and there have been multiple subsequent reports. The syndrome received its name...

Copyright © 2014 The Korean Association of Internal Medicine This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/ by-nc/3.0/) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited. pISSN 1226-3303 eISSN 2005-664...

Apical ballooning syndrome (ABS) is a unique reversible cardiomyopathy that is frequently precipitated by emotional or physical stress. In addition, the few drugs reported to precipitate ABS were either illegal or strictly controlled for medical use. This paper reports a case of ABS precipitated by a dietary supplement. Our case accentuates the potential risk of dietary supplements containing s...

Ampulla cardiomyopathy is a rare cardiac syndrome characterized by transient left ventricular (LV) apical ballooning without significant coronary artery disease. The shape of the left ventricular cavity during the acute phase resembles an ampulla. These patients are usually misdiagnosed as acute myocardial infarction because of similar clinical symptoms, electrocardiogram (ECG) changes and myoc...

Known commonly as "broken heart syndrome," takotsubo cardiomyopathy is a poorly understood heart condition that results in acute decompensation of cardiac function. We report a case of a 68-year-old female who developed acute shortness of breath status after chemotherapy and radiation treatment for Stage IV squamous-cell carcinoma. Computed tomography pulmonary angiogram (CTPA) revealed a singl...

Takotsubo cardiomyopathy (TCM) is a stress-induced cardiomyopathy that occurs primarily in postmenopausal women. It mimics clinical picture of acute coronary syndrome with nonobstructive coronary arteries and a characteristic transient left (or bi-) ventricular apical ballooning at angiography. The exact pathogenesis of TCM is not well recognized. Hereby we present an unusual case of TCM that p...

Takotsubo cardiomyopathy is usually described following acute emotional stress. We report here the case of a 48-year-old woman admitted for acute coronary syndrome after an intensive squash match. Diagnosis of Takotsubo cardiomyopathy due to acute physical stress was suspected in presence of normal coronary arteries and transitory left ventricular dysfunction with typical apical ballooning. Car...