Magnetic Resonance Imaging of Transient Left Ventricular Apical Ballooning Related to Emotional Stress: a Case Report.
- Author:
Mu Sook LEE
1
;
Byoung Wook CHOI
;
Kyu Ok CHOE
;
Namsik CHUNG
Author Information
- Publication Type:Case Report
- Keywords: Transient left venticular apical ballooning; Tako-tsubo cardiomyopathy; Magnetic resonance imaging (MRI)
- MeSH: Ventricular Dysfunction, Left/*diagnosis/*etiology; Stress, Psychological/*complications; Myocardial Infarction/diagnosis; Magnetic Resonance Imaging/*methods; Humans; Female; Electrocardiography; Echocardiography; Diagnosis, Differential; Aged
- From:Korean Journal of Radiology 2007;8(1):74-77
- CountryRepublic of Korea
- Language:English
- Abstract: Transient left ventricular apical ballooning is characterized by transient wall motion abnormalities involving the left ventricular apex and mid-ventricle in the absence of coronary arterial occlusion. A 66-year-old woman presented to the emergency department with chest pain that mimicked acute myocardial infarction. An aortogram showed akinesis from the mid to apical left ventricle with sparing of the basal segments. Four days later, she underwent MRI, which demonstrated characteristic apical contractile dysfunction, the same as the aortogram, without evidence of myocardial infarction on the MRI. Two weeks later, her symptoms were resolved and follow-up echocardiography showed normal ventricular function.
