As the use of early coronary angiography and echocardiography become widely available in the setting of acute coronary syndrome, the gradual increase for variant forms of transient left ventricular (LV) apical ballooning syndrome have been recognized. This syndrome usually occurs in women and is frequently elicited by an intense emotional, psychological, and physical event. While the patients' ...

BACKGROUND Left ventricular (LV) thrombi during Takotsubo syndrome represent a potential complication and can be associated with cerebrovascular embolic events. The aim of this study was to evaluate the exact incidence, predictors, and management strategies of LV thrombi in patients with Takotsubo syndrome. METHODS AND RESULTS We enrolled 541 consecutive patients in a multicenter internationa...

In the majority of cases, Takotsubo syndrome is characterized by the fact that it presents in association with a situation of stress and shows clinical symptoms and electrocardiogram findings consistent with acute myocardial infarction (AMI) and slightly elevated enzymes. Transient left ventricular apical ballooning is produced in this condition and recovers over several days or weeks. Takotsub...

http://ccn.aacnjournals.org Brenda McCulloch is a clinical nurse specialist for the Sutter Heart Institute in Sacramento, California. She has 25 years of experience in cardiovascular nursing, with a concentration in interventional cardiology. Transient left ventricular apical ballooning, also known as takotsubo cardiomyopathy, is an unusual abnormality that may be the underlying cause of signs ...

We describe a case of Takotsubo cardiomyopathy in an elderly woman after status epilepticus. In an emergency echocardiography, not only left ventricular apical ballooning but also right ventricular apical hypokinesia was observed. After a medical management, the patient's condition was improved and a follow-up echocardiography showed substantial recovery of left and right ventricular apical bal...

Takotsubo cardiomyopathy (TC), synonymous with apical ballooning syndrome, broken heart syndrome, stress induced/ ampulla cardiomyopathy is characterized by transient left ventricular dysfunction of apical ( typical) or mid segments (atypical), mimicking acute myocardial infarction in the absence of significant coronary artery disease . We report a rare case of recurrent takotsubo cardiomyopath...

We present a case of a 78-year-old female who was admitted to the hospital due to clinical and electrographic features of ST-elevation acute myocardial infarction. Coronary angiography revealed normal coronary arteries and severe left ventricular contractility abnormalities, detected initially by echocardiography, which resolved within 20 days from hospital admission. Because of these findings ...

1. Mansencal N, El Mahmoud R, Pillière R, Dubourg O. Relationship between pattern of tako-tsubo cardiomyopathy and age: From mid-ventricular to apical ballooning syndrome. Int J Cardiol. 2008. doi:10.1016/j.ijcard.2008.06.009. 2. Yoshidaa T, Nishizawab T, Yajimaa K, Tsuruokab M, Fujimakia T, Oguria M, et al. A rare case of tako-tsubo cardiomyopathy with variable forms of left ventricular dysfun...

Apical ballooning syndrome (ABS) is a unique reversible cardiomyopathy that is frequently precipitated by a stressful event and has a clinical presentation that is indistinguishable from a myocardial infarction. We review the best evidence regarding the pathophysiology, clinical features, investigation, and management of ABS. The incidence of ABS is estimated to be 1% to 2% of patients presenti...