A 79-year-old white woman with known hypertrophic obstructive cardiomyopathy (HOCM) presented with sudden-onset chest pain and no identifiable stressor. Examination suggested a new apical 3/6 systolic murmur and pulmonary edema. A 12-lead electrocardiogram showed anterolateral wall ischemia. The patient’s peak troponin T level was 2.5 ng/mL. Echocardiography revealed a basal hypertrophied septu...

The Medical Journal of Australia ISSN: 0025729X 15 November 2004 181 10 572-572 ©The Medical Journal of Australia 2004 www.mja.com.au Snapshot placed for the management of cardiogenic shock. A gram 3 weeks later showed normal left ventricu function. The patient had acute transient apical ballooning coronary arteries (“Takotsubo” cardiomyopathy). Firs 1990, the presentation is similar to that of...

The Takotsubo Cardiomyopathy (TC) also called broken heart syndrome, or stress-induced cardiomyopathy is characterized by the transient ballooning of the apex during systole as result of apical dyskinesia in conjunction with a compensatory hyperkinesia of the base of the left ventricle; in the absence of significant epicardial coronary artery disease. We report a case of TC with the characteris...

A 78-year-old woman was admitted to hospital with central chest pain and the electrocardiographic and cardiac marker changes typical of acute anterior myocardial infarction. Coronary angiography revealed normal epicardial coronary arteries, and left ventriculography showed apical akinesis as well as basal hyperkinesis. This is a case of transient left ventricular apical ballooning or takotsubo ...

OBJECTIVES We sought to assess the clinical features of transient left ventricular (LV) apical ballooning. BACKGROUND Although several cases regarding transient LV apical ballooning have been reported, the etiology remains unknown. METHODS We investigated 17 patients (14 women, median age 74 years old with a range of 54 to 91 years old) who fulfilled the following criteria: 1) transient LV ...

Introduction. Neurogenic stunned myocardium (NSM) is a reversible cardiomyopathy resulting in transient left ventricular apical ballooning presumed to result from catecholamine surge occurring under physiologic stress. Acute spinal cord ischemia is a rare ischemic vascular lesion. We report a case of neurogenic stunned myocardium occurring in the setting of acute spinal cord infarction. Methods...

Abstract A 66–year–old woman presented to medical attention for low back pain, weight loss and evening fever about 2 weeks, with concomitant mood deflection. Blood cultures were positive Streptococcus mutans. Lumbar spondylodiscitis was found on spinal MRI splenic infarction abdominal ultrasound. The echocardiogram revealed the presence of vegetations aortic valve, which severely regurgitant, t...