Author + information
- Received September 16, 2010
- Accepted September 23, 2010
- Published online June 28, 2011.
A 65-year-old woman presented to the emergency room with a suspected acute coronary syndrome. Emergency coronary angiography revealed normal coronary arteries, and the left ventricular angiogram confirmed regional wall motion abnormality consistent with the typical morphology for apical ballooning syndrome or Takotsubo cardiomyopathy that resolved after several weeks (A in diastole, B in systole, Online Video 1). Three years later she presented again with acute onset of chest pain. Left ventriculogram on this occasion demonstrated regional wall motion abnormalities consistent with the mid-ventricular variant of the apical ballooning syndrome (C in diastole, D in systole, Online Video 2). The reasons for the variable patterns of ventricular dysfunction are unclear, but on the basis of this case report, it is reasonable to assume that differences between patients in their genetic profile or the distribution of cardiac sympathetic nerves are not the mechanisms.
- Received September 16, 2010.
- Accepted September 23, 2010.
- American College of Cardiology Foundation