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Document Details : Title: Transient midventricular ballooning syndrome. An atypical presentation of takotsubo cardiomyopathy Author(s): L.M. Rademakers , R.W. Weijers , I.F. Wijnbergen Journal: Acta Cardiologica Volume: 66 Issue: 6 Date: 2011 Pages: 811-813 DOI: 10.2143/AC.66.6.2136969 Abstract : A 72-year-old woman without cardiovascular history presented with acute substernal chest pain and dyspnoea. The electrocardiogram was normal, but the blood test analyses showed an elevated troponin T level. Emergency coronary angiography revealed normal epicardial coronary arteries, but the left ventriculogram demonstrated midventricular dilatation and akinesis with well-preserved contractility of the apex and base. The patient was diagnosed as having an atypical presentation of takotsubo cardiomyopathy. She was treated with a beta blocker and an ACE inhibitor and recovered well. A follow-up echocardiogram at 2 months showed normalization of the wall motion abnormality. |