- Author:
Ho Joon IM
1
;
Ji Hyun LEE
;
Hyun Jung YEO
;
Hong Jik LEE
;
Ki Sup BYUN
;
Min Jung KIM
Author Information
- Publication Type:Case Report
- Keywords: Systemic lupus erythematosus; Persistent apical ballooning
- MeSH: Adult; Cardiomyopathy, Hypertrophic; Coronary Disease; Craniocerebral Trauma; Diagnosis; Dyskinesias; Echocardiography; Electrocardiography; Female; Follow-Up Studies; Humans; Hypokinesia; Lupus Erythematosus, Systemic; Myocarditis; Pheochromocytoma; Prognosis; Takotsubo Cardiomyopathy; Ventricular Dysfunction, Left
- From:Journal of Rheumatic Diseases 2014;21(2):91-95
- CountryRepublic of Korea
- Language:Korean
- Abstract: Apical ballooning syndrome (ABS), also referred to as stress cardiomyopathy, is characterized by acute left ventricular dysfunction following a stressful situation. Diagnosis of ABS is made in the following scenarios: transient hypokinesia or dyskinesia of the left ventricular segment, absence of obstructive coronary disease, new electrocardiogram abnormalities, absence of recent significant head trauma, pheochromocytoma, myocarditis, and hypertrophic cardiomyopathy. Prognosis is usually favorable since the wall motion abnormality returns to normal within days, and certainly within the first month. We encountered a case of SLE with apical ballooning on echocardiography in a 44-year-old woman. She was suffering from severe left ventricular dysfunction that has persisted on 5 year follow-up echocardiography. We report this case along with a review of the relevant literature.