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      Midventricular form of takotsubo cardiomyopathy as a recurrence 1 year after typical apical ballooning: a case report

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      Cases Journal
      BioMed Central

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          Abstract

          Takotsubo cardiomyopathy was first described in Japan and is characterized by transient left ventricular apical ballooning in the absence of a significant coronary artery disease.

          Caused by the clinical presentation including chest pain, electrocardiographic changes and elevated myocardial markers this syndrome is frequently misdiagnosed as an acute coronary syndrome. Recurrences of Takotsubo Cardiomyopathy, especially in variant regions of the left ventricle are rare

          We describe a midventricular form of Takotsubo Cardiomyopathy as a recurrence 1 year after typical apical ballooning.

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          Transient mid-ventricular ballooning cardiomyopathy: a new entity of Takotsubo cardiomyopathy.

          We present a case of a 64-year-old man with transient mid-ventricular ballooning cardiomyopathy. Left ventriculography showed morphological differences with ballooning around the whole mid-portion of the left ventricle, although precipitating factors and clinical courses were similar to Takotsubo cardiomyopathy. We suspect that transient mid-ventricular ballooning cardiomyopathy is a new pathological entity in Takotsubo cardiomyopathy.
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            Recurrence of takotsubo cardiomyopathy with variant forms of left ventricular dysfunction.

            Apical ballooning syndrome, or takotsubo cardiomyopathy, is a syndrome characterized by transient left ventricular dysfunction, frequently presenting with electrocardiographic changes and elevated cardiac biomarkers in the absence of obstructive coronary artery disease. We describe a case where repeated emotional stress caused recurrent ventricular dysfunction in varying regions of the left ventricle.
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              Recurrence of Stress-Induced (Takotsubo) Cardiomyopathy

              Takotsubo cardiomyopathy is a recently recognized form of transient left ventricular dysfunction that is presumably precipitated by stress and may clinically resemble an acute coronary syndrome. These patients have an akinetic left ventricular apex in an unusual shape that resembles a takotsubo. Although reports of single episodes of takotsubo cardiomyopathy are not infrequent in recent medical literature, we report a case of recurrence that may provide more insight into the nature of this syndrome.
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                Author and article information

                Journal
                Cases J
                Cases Journal
                BioMed Central
                1757-1626
                2008
                19 November 2008
                : 1
                : 331
                Affiliations
                [1 ]Herzzentrum Ludwigshafen, Department of Cardiology, Ludwigshafen, Germany
                Article
                1757-1626-1-331
                10.1186/1757-1626-1-331
                2599899
                19019232
                830389b7-57fa-4f11-831c-a4762cf94e53
                Copyright © 2008 Koeth et al; licensee BioMed Central Ltd.

                This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 14 August 2008
                : 19 November 2008
                Categories
                Case Report

                Medicine
                Medicine

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