Advertisement






Click here for more guidelines.
CME Topic Collections Past Issues Search Current Issue Home
     

J Am Coll Cardiol, 2001; 38:11-18
© 2001 by the American College of Cardiology Foundation
This Article
Right arrow Figures Only
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Tsuchihashi, K.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Tsuchihashi, K.

CLINICAL STUDY

Transient left ventricular apical ballooning without coronary artery stenosis: a novel heart syndrome mimicking acute myocardial infarction

Kazufumi Tsuchihashi, MD, PhDa, Kenji Ueshima, MD, PhD{dagger}, Tatsuro Uchida, MD, PhD{ddagger}, Nobuhiro Oh-mura, MD, PhD§, Kazuo Kimura, MD, PhD||, Mafumi Owa, MD, PhD, Minoru Yoshiyama, MD, PhD#, Shunichi Miyazaki, MD, PhD**, Kazuo Haze, MD, PhD{dagger}{dagger}, Hisao Ogawa, MD, PhD{ddagger}{ddagger}, Takashi Honda, MD, PhD§§, Mamoru Hase, MDa, Ryu-ichi Kai, MD, PhD§, Isao Morii, MD, PhD** for the Angina Pectoris-Myocardial Infarction Investigations in Japan

a Second Department of Internal Medicine, Sapporo Medical University School of Medicine, Sapporo, Japan
{dagger} Second Department of Internal Medicine and Cardiology, Memorial Heart Center, Iwate Medical University School of Medicine, Morioka, Iwate, Japan
{ddagger} Division of Cardiovascular Medicine, Sendai Cardiovascular Center, Sendai, Japan
§ Department of Cardiovascular Medicine, Omiya Medical Center, Jichi Medical School, Omiya, Saitama, Japan
|| Department of Cardiology, Yokohama City University Medical Center, Yokohama, Japan
First Department of Internal Medicine, Shinsyu University School of Medicine, Matsumoto, Nagano, Japan
# Division of Cardiology, Osaka City University School of Medicine, Osaka, Japan
** Division of Cardiology, National Cardiovascular Center, Suita, Osaka, Japan
{dagger}{dagger} Department of Cardiology, Osaka City General Hospital, Osaka, Japan
{ddagger}{ddagger} Department of Cardiovascular Medicine, Kumamoto University School of Medicine, Kumamoto, Japan
§§ Cardiovascular Center, Saiseikai Kumamoto Hospital, Kumamoto, Japan

Manuscript received November 15, 2000; revised manuscript received March 8, 2001, accepted March 26, 2001.

Reprint requests and correspondence: Dr. Kazufumi Tsuchihashi, Second Department of Internal Medicine, Sapporo Medical University School of Medicine, S-1, W-16, Chuo-ku, Sapporo 060-0061, Japan
tsuchiha{at}sapmed.ac.jp

OBJECTIVES

To determine the clinical features of a novel heart syndrome with transient left ventricular (LV) apical ballooning, but without coronary artery stenosis, that mimics acute myocardial infarction, we performed a multicenter retrospective enrollment study.

BACKGROUND

Only several case presentations have been reported with regard to this syndrome.

METHODS

We analyzed 88 patients (12 men and 76 women), aged 67 ± 13 years, who fulfilled the following criteria: 1) transient LV apical ballooning, 2) no significant angiographic stenosis, and 3) no known cardiomyopathies.

RESULTS

Thirty-eight (43%) patients had preceding aggravation of underlying disorders (cerebrovascular accident [n = 3], epilepsy [n = 3], exacerbated bronchial asthma [n = 3], acute abdomen [n = 7]) and noncardiac surgery or medical procedure (n = 11) at the onset. Twenty-four (27%) patients had emotional and physical problems (sudden accident [n = 2], death/funeral of a family member [n = 7], inexperience with exercise [n = 6], quarreling or excessive alcohol consumption [n = 5] and vigorous excitation [n = 4]). Chest symptoms (67%), electrocardiographic changes (ST elevation [90%], Q-wave formation [27%] and T-wave inversion [97%]) and elevated creatine kinase (56%) were found. After treatment of pulmonary edema (22%), cardiogenic shock (15%) and ventricular tachycardia/fibrillation (9%), 85 patients had class I New York Heart Association function on discharge. The LV ejection fraction improved from 41 ± 11% to 64 ± 10%. Transient intraventricular pressure gradient and provocative vasospasm were documented in 13/72 (18%) and 10/48 (21%) of the patients, respectively. During follow-up for 13 ± 14 months, two patients showed recurrence, and one died suddenly.

CONCLUSIONS

A novel cardiomyopathy with transient apical ballooning was reported. Emotional or physical stress might play a key role in this cardiomyopathy, but the precise etiologic basis still remains unclear.

Abbreviations and Acronyms
  AMI = acute myocardial infarction
  AP-MI = Angina Pectoris-Myocardial Infarction investigations
  CAG = coronary angiogram or coronary angiographic
  CK = creatine kinase
  ECG = electrocardiogram or electrocardiographic
  LV = left ventricle or left ventricular
  LVG = left ventriculography or left ventriculographic




This article has been cited by other articles:


Home page
Ann. Thorac. Surg.Home page
J. Hussain, N. Laufer, S. Sorrof, and A. Pershad
Takotsubo Cardiomyopathy After Coronary Intervention Developed During Hospitalization
Ann. Thorac. Surg., December 1, 2009; 88(6): e63 - e65.
[Abstract] [Full Text] [PDF]


Home page
Eur J EchocardiogrHome page
D. E. Thomas, R. Wheeler, Z. R. Yousef, and N. D. Masani
The role of echocardiography in guiding management in dilated cardiomyopathy
Eur J Echocardiogr, December 1, 2009; 10(8): iii15 - iii21.
[Abstract] [Full Text] [PDF]


Home page
BMJ Case ReportsHome page
S. Arshad and S. H. Dhakam
Political riots in Pakistan and stress-induced cardiomyopathy: a case report
BMJ Case Reports, September 15, 2009; 2009(sep15_1): bcr1220081366 - bcr1220081366.
[Abstract] [Full Text]


Home page
NEJMHome page
T. T. Tsai, B. K. Nallamothu, A. Prasad, S. Saint, and E. R. Bates
A Change of Heart
N. Engl. J. Med., September 3, 2009; 361(10): 1010 - 1016.
[Full Text] [PDF]


Home page
Eur Heart JHome page
G. Barletta, S. Del Pace, M. Boddi, R. Del Bene, C. Salvadori, B. Bellandi, M. Coppo, E. Saletti, and G. F. Gensini
Abnormal coronary reserve and left ventricular wall motion during cold pressor test in patients with previous left ventricular ballooning syndrome
Eur. Heart J., August 21, 2009; (2009) ehp325v1.
[Abstract] [Full Text] [PDF]


Home page
Am. J. PsychiatryHome page
L. K. Kent, C. A. Weston, E. J. Heyer, W. Sherman, and J. Prudic
Successful Retrial of ECT Two Months After ECT-Induced Takotsubo Cardiomyopathy
Am J Psychiatry, August 1, 2009; 166(8): 857 - 862.
[Full Text] [PDF]


Home page
ANGIOLOGYHome page
C. Ripa, F. Olivieri, and R. Antonicelli
Tako-Tsubo-Like Syndrome With Atypical Clinical Presentation: Case Report and Literature Review
Angiology, August 1, 2009; 60(4): 513 - 517.
[Abstract] [PDF]


Home page
Eur J Heart FailHome page
E. Omerovic
Did Jesus die of a 'broken heart'?
Eur J Heart Fail, August 1, 2009; 11(8): 729 - 731.
[Full Text] [PDF]


Home page
J Am Coll CardiolHome page
R. Citro, M. Previtali, D. Bovelli, O. Vriz, C. Astarita, M. M. Patella, G. Provenza, C. Armentano, Q. Ciampi, G. Gregorio, et al.
Chronobiological Patterns of Onset of Tako-Tsubo Cardiomyopathy A Multicenter Italian Study.
J. Am. Coll. Cardiol., July 7, 2009; 54(2): 180 - 181.
[Full Text] [PDF]


Home page
Eur J Heart FailHome page
M. Bonacchi, M. Maiani, G. Harmelin, and G. Sani
Intractable cardiogenic shock in stress cardiomyopathy with left ventricular outflow tract obstruction: is extra-corporeal life support the best treatment?
Eur J Heart Fail, July 1, 2009; 11(7): 721 - 727.
[Abstract] [Full Text] [PDF]


Home page
Mayo Clin Proc.Home page
S.-M. Park, A. Prasad, C. Rihal, M. R. Bell, and J. K. Oh
Left Ventricular Systolic and Diastolic Function in Patients With Apical Ballooning Syndrome Compared With Patients With Acute Anterior ST-Segment Elevation Myocardial Infarction: A Functional Paradox
Mayo Clin. Proc., June 1, 2009; 84(6): 514 - 521.
[Abstract] [Full Text] [PDF]


Home page
CMAJHome page
A. Latib, A. Ielasi, M. Montorfano, and A. Colombo
Broken heart syndrome: tako-tsubo cardiomyopathy
Can. Med. Assoc. J., May 12, 2009; 180(10): 1033 - 1034.
[Full Text] [PDF]


Home page
BMJ Case ReportsHome page
A. K Ghosh, E. Hatfield, and S. Connolly
Catecholamine-induced transient myocardial dysfunction
BMJ Case Reports, May 12, 2009; 2009(may12_1): bcr1220081349 - bcr1220081349.
[Abstract] [Full Text]


Home page
BMJ Case ReportsHome page
B. Teo
A mimicry of an acute coronary syndrome
BMJ Case Reports, May 8, 2009; 2009(may08_1): bcr0120091424 - bcr0120091424.
[Abstract] [Full Text]


Home page
Eur J EndocrinolHome page
S. J. Lee, J. G. Kang, O. H. Ryu, C. S. Kim, S.-H. Ihm, M. G. Choi, H. J. Yoo, and K. S. Hong
The relationship of thyroid hormone status with myocardial function in stress cardiomyopathy
Eur. J. Endocrinol., May 1, 2009; 160(5): 799 - 806.
[Abstract] [Full Text] [PDF]


Home page
Ann Clin BiochemHome page
S. Nanda, S. Longo, S. P. Bhatt, J. Pamula, S. G. Sharma, and T. H Dale
Stress cardiomyopathy - a unique presentation of diabetic ketoacidosis
Ann Clin Biochem, May 1, 2009; 46(3): 257 - 260.
[Abstract] [Full Text] [PDF]


Home page
ANN INTERN MEDHome page
A. H. Skolnick, K. Michelin, A. Nayar, D. Fisher, and I. Kronzon
Transient Apical Ballooning Syndrome Precipitated by Dobutamine Stress Testing
Ann Intern Med, April 7, 2009; 150(7): 501 - 502.
[Full Text] [PDF]


Home page
Am J Health Syst PharmHome page
J. C. Coons, M. Barnes, and K. Kusick
Takotsubo cardiomyopathy
Am. J. Health Syst. Pharm., March 15, 2009; 66(6): 562 - 566.
[Abstract] [Full Text] [PDF]


Home page
Eur J EchocardiogrHome page
P. Meimoun, D. Malaquin, T. Benali, J. Boulanger, H. Zemir, and C. Tribouilloy
Transient impairment of coronary flow reserve in tako-tsubo cardiomyopathy is related to left ventricular systolic parameters
Eur J Echocardiogr, March 1, 2009; 10(2): 265 - 270.
[Abstract] [Full Text] [PDF]


Home page
BMJ Case ReportsHome page
S. Bijulal, S. Harikrishnan, N. Namboodiri, V. K Ajitkumar, D. Gupta, and P S Mathuranath
Tako-tsubo cardiomyopathy in a patient with myasthenia gravis crisis: a rare clinical association
BMJ Case Reports, February 16, 2009; 2009(feb04_1): bcr0620080182 - bcr0620080182.
[Abstract] [Full Text]


Home page
J. Thorac. Cardiovasc. Surg.Home page
Y. Umeda, Y. Matsuno, M. Imaizumi, Y. Mori, and H. Takiya
Takotsubo cardiomyopathy after repair of ruptured abdominal aortic aneurysm.
J. Thorac. Cardiovasc. Surg., January 1, 2009; 137(1): e4 - e6.
[Full Text] [PDF]


Home page
CirculationHome page
S. Sasayama
Heart Disease in Asia
Circulation, December 16, 2008; 118(25): 2669 - 2671.
[Full Text] [PDF]


Home page
CirculationHome page
Y. J. Akashi, D. S. Goldstein, G. Barbaro, and T. Ueyama
Takotsubo Cardiomyopathy: A New Form of Acute, Reversible Heart Failure
Circulation, December 16, 2008; 118(25): 2754 - 2762.
[Full Text] [PDF]


Home page
BMJHome page
P Parulekar, M Z O Khawaja, and E T McWilliams
Chest pain after emotional and physical upset
BMJ, September 3, 2008; 337(sep02_4): a107 - a107.
[Full Text]


Home page
Eur J EchocardiogrHome page
N. D'Amato, P. Colonna, P. Brindicci, M. G. Campagna, C. Petrillo, A. Cafarelli, and C. D'Agostino
Tako-Tsubo syndrome in a pregnant woman
Eur J Echocardiogr, September 1, 2008; 9(5): 700 - 703.
[Abstract] [Full Text] [PDF]


Home page
CirculationHome page
K. A. Bybee and A. Prasad
Stress-Related Cardiomyopathy Syndromes
Circulation, July 22, 2008; 118(4): 397 - 409.
[Full Text] [PDF]


Home page
ANGIOLOGYHome page
C.-C. Fang, Yeun Tarl Fresner Ng Jao, Yi-Chen, C.-L. Yu, C.-L. Chen, and S.-P. Wang
Transient Left Ventricular Apical Ballooning Syndrome: The First Series in Taiwanese Patients
Angiology, May 1, 2008; 59(2): 185 - 192.
[Abstract] [PDF]


Home page
JRSMHome page
W Kittisupamongkol
Takotsubo cardiomyopathy
J R Soc Med, April 1, 2008; 101(4): 163 - 163.
[Full Text] [PDF]


Home page
ChestHome page
J. Ako, P. W. Radke, H. Schunkert, and V. Kurowski
Apical and Midventricular Transient Left Ventricular Dysfunction Syndrome (Tako-tsubo Cardiomyopathy)
Chest, April 1, 2008; 133(4): 1052 - 1053.
[Full Text] [PDF]


Home page
J. Thorac. Cardiovasc. Surg.Home page
R. Zegdi, C. Parisot, G. Sleilaty, A. Deloche, and J.-N. Fabiani
Pheochromocytoma-induced inverted Takotsubo cardiomyopathy: a case of patient resuscitation with extracorporeal life support.
J. Thorac. Cardiovasc. Surg., February 1, 2008; 135(2): 434 - 435.
[Full Text] [PDF]


Home page
Crit Care NurseHome page
B. McCulloch
Transient Left Ventricular Apical Ballooning
Crit. Care Nurse, December 1, 2007; 27(6): 20 - 27.
[Full Text] [PDF]


Home page
JRSMHome page
I. A Fazal, K. Alfakih, and J. T Walsh
Takotsubo Cardiomyopathy
J R Soc Med, December 1, 2007; 100(12): 573 - 575.
[Full Text] [PDF]


Home page
Eur Heart JHome page
T. Yoshida, T. Hibino, N. Kako, S. Murai, M. Oguri, K. Kato, K. Yajima, N. Ohte, K. Yokoi, and G. Kimura
A pathophysiologic study of tako-tsubo cardiomyopathy with F-18 fluorodeoxyglucose positron emission tomography
Eur. Heart J., November 1, 2007; 28(21): 2598 - 2604.
[Abstract] [Full Text] [PDF]


Home page
Eur Heart JHome page
H. M. Nef, H. Mollmann, S. Kostin, C. Troidl, S. Voss, M. Weber, T. Dill, A. Rolf, R. Brandt, C. W. Hamm, et al.
Tako-Tsubo cardiomyopathy: intraindividual structural analysis in the acute phase and after functional recovery
Eur. Heart J., October 2, 2007; 28(20): 2456 - 2464.
[Abstract] [Full Text] [PDF]


Home page
HeartHome page
H. M Nef, H. Mollmann, and A. Elsasser
Tako-tsubo cardiomyopathy (apical ballooning)
Heart, October 1, 2007; 93(10): 1309 - 1315.
[Full Text] [PDF]


Home page
ChestHome page
N. Frey, H. A. Katus, and E. Giannitsis
The Tako-Tsubo Syndrome: An Underappreciated, Novel Disease Entity
Chest, September 1, 2007; 132(3): 743 - 744.
[Full Text] [PDF]


Home page
ChestHome page
V. Kurowski, A. Kaiser, K. von Hof, D. P. Killermann, B. Mayer, F. Hartmann, H. Schunkert, and P. W. Radke
Apical and Midventricular Transient Left Ventricular Dysfunction Syndrome (Tako-Tsubo Cardiomyopathy)* Frequency, Mechanisms, and Prognosis
Chest, September 1, 2007; 132(3): 809 - 816.
[Abstract] [Full Text] [PDF]


Home page
J Am Coll CardiolHome page
J. L. Anderson, C. D. Adams, E. M. Antman, C. R. Bridges, R. M. Califf, D. E. Casey Jr, W. E. Chavey II, F. M. Fesmire, J. S. Hochman, T. N. Levin, et al.
ACC/AHA 2007 Guidelines for the Management of Patients With Unstable Angina/Non-ST-Elevation Myocardial Infarction: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the 2002 Guidelines for the Management of Patients With Unstable Angina/Non-ST-Elevation Myocardial Infarction) Developed in Collaboration with the American College of Emergency Physicians, the Society for Cardiovascular Angiography and Interventions, and the Society of Thoracic Surgeons Endorsed by the American Association of Cardiovascular and Pulmonary Rehabilitation and the Society for Academic Emergency Medicine
J. Am. Coll. Cardiol., August 14, 2007; 50(7): e1 - e157.
[Full Text] [PDF]


Home page
Postgrad. Med. J.Home page
R. Ramaraj
Stress cardiomyopathy: aetiology and management
Postgrad. Med. J., August 1, 2007; 83(982): 543 - 546.
[Abstract] [Full Text] [PDF]


Home page
J Am Coll CardiolHome page
A. A. Elesber, A. Prasad, R. J. Lennon, R. S. Wright, A. Lerman, and C. S. Rihal
Four-Year Recurrence Rate and Prognosis of the Apical Ballooning Syndrome
J. Am. Coll. Cardiol., July 31, 2007; 50(5): 448 - 452.
[Abstract] [Full Text] [PDF]


Home page
CirculationHome page
A. Chockalingam, L. Tejwani, K. Aggarwal, and K. C. Dellsperger
Dynamic Left Ventricular Outflow Tract Obstruction in Acute Myocardial Infarction With Shock: Cause, Effect, and Coincidence
Circulation, July 31, 2007; 116(5): e110 - e113.
[Full Text] [PDF]


Home page
JAMAHome page
R. C. Ziegelstein
Acute Emotional Stress and Cardiac Arrhythmias
JAMA, July 18, 2007; 298(3): 324 - 329.
[Abstract] [Full Text] [PDF]


Home page
Eur Heart JHome page
A. Lerman, D. R. Holmes, J. Herrmann, and B. J. Gersh
Microcirculatory dysfunction in ST-elevation myocardial infarction: cause, consequence, or both?
Eur. Heart J., April 1, 2007; 28(7): 788 - 797.
[Abstract] [Full Text] [PDF]


Home page
Emerg. Med. J.Home page
B. Teo
A mimicry of an acute coronary syndrome
Emerg. Med. J., April 1, 2007; 24(4): e25 - e25.
[Abstract] [Full Text] [PDF]


Home page
Postgrad. Med. J.Home page
S. Buchholz and G. Rudan
Tako-tsubo syndrome on the rise: a review of the current literature
Postgrad. Med. J., April 1, 2007; 83(978): 261 - 264.
[Abstract] [Full Text] [PDF]


Home page
NEJMHome page
G. D. Lewis, C. B. Holmes, G. Holmvang, and J. R. Butterton
Case 8-2007 -- A 48-Year-Old Man with Chest Pain Followed by Cardiac Arrest
N. Engl. J. Med., March 15, 2007; 356(11): 1153 - 1162.
[Full Text] [PDF]


Home page
J Am Coll CardiolHome page
S. W. Sharkey, J. R. Lesser, M. S. Maron, and B. J. Maron
Stress Cardiomyopathy
J. Am. Coll. Cardiol., February 27, 2007; 49(8): 921 - 921.
[Full Text] [PDF]


Home page
CirculationHome page
A. Prasad
Apical Ballooning Syndrome: An Important Differential Diagnosis of Acute Myocardial Infarction
Circulation, February 6, 2007; 115(5): e56 - e59.
[Full Text] [PDF]


Home page
Eur J Heart FailHome page
A. Vultaggio, A. Matucci, S. Del Pace, I. Simonetti, P. Parronchi, O. Rossi, E. Maggi, G. Gensini, and S. Romagnani
Tako-Tsubo-like syndrome during anaphylactic reaction
Eur J Heart Fail, February 1, 2007; 9(2): 209 - 211.
[Abstract] [Full Text] [PDF]


Home page
Ann. Thorac. Surg.Home page
M. Berman, M. Saute, E. Porat, M. Vaturi, L. Paul-Kislin, B. A. Vidne, and A. Kogan
Takotsubo Cardiomyopathy: Expanding the Differential Diagnosis in Cardiothoracic Surgery
Ann. Thorac. Surg., January 1, 2007; 83(1): 295 - 298.
[Abstract] [Full Text] [PDF]


Home page
HeartHome page
A L Baggish, R N Smith, I Palacios, G J Vlahakes, D M Yoerger, M H Picard, P A Lowry, I-k Jang, and M A Fifer
Pathological effects of alcohol septal ablation for hypertrophic obstructive cardiomyopathy
Heart, December 1, 2006; 92(12): 1773 - 1778.
[Abstract] [Full Text] [PDF]


Home page
Postgrad. Med. J.Home page
M B. Iqbal, J. C Moon, O. P Guttmann, P. Shanahan, P. J Goadsby, and D. R Holdright
Stress, emotion and the heart: tako-tsubo cardiomyopathy
Postgrad. Med. J., December 1, 2006; 82(974): e29 - e29.
[Abstract] [Full Text] [PDF]


Home page
J Am Coll CardiolHome page
R. T. Hurst, J. W. Askew, C. S. Reuss, R. W. Lee, J. P. Sweeney, F. D. Fortuin, J. K. Oh, and A. J. Tajik
Transient Midventricular Ballooning Syndrome: A New Variant
J. Am. Coll. Cardiol., August 1, 2006; 48(3): 579 - 583.
[Abstract] [Full Text] [PDF]


Home page
Arch Intern MedHome page
R. Bugiardini, O. Manfrini, and G. M. De Ferrari
Unanswered questions for management of acute coronary syndrome: risk stratification of patients with minimal disease or normal findings on coronary angiography.
Arch Intern Med, July 10, 2006; 166(13): 1391 - 1395.
[Abstract] [Full Text] [PDF]


Home page
Eur Heart JHome page
M. Gianni, F. Dentali, A. M. Grandi, G. Sumner, R. Hiralal, and E. Lonn
Apical ballooning syndrome or takotsubo cardiomyopathy: a systematic review
Eur. Heart J., July 1, 2006; 27(13): 1523 - 1529.
[Abstract] [Full Text] [PDF]


Home page
StrokeHome page
A. M. Naidech
Adrenoreceptor Polymorphisms and Subarachnoid Hemorrhage
Stroke, July 1, 2006; 37(7): 1635 - 1635.
[Full Text] [PDF]


Home page
Mayo Clin Proc.Home page
B. Ibanez, J. Benezet-Mazuecos, F. Navarro, and J. Farre
Takotsubo Syndrome: A Bayesian Approach to Interpreting Its Pathogenesis
Mayo Clin. Proc., June 1, 2006; 81(6): 732 - 735.
[Full Text] [PDF]


Home page
Mayo Clin Proc.Home page
J. M. Rivera, A. J. Locketz, K. D. Fritz, T. T. Horlocker, D. G. Lewallen, A. Prasad, J. F. Bresnahan, and M. O. Kinney
'Broken Heart Syndrome' After Separation (From OxyContin)
Mayo Clin. Proc., June 1, 2006; 81(6): 825 - 828.
[Abstract] [Full Text] [PDF]


Home page
Mayo Clin Proc.Home page
S. Arora, F. Alfayoumi, and V. Srinivasan
Transient Left Ventricular Apical Ballooning After Cocaine Use: Is Catecholamine Cardiotoxicity the Pathologic Link?
Mayo Clin. Proc., June 1, 2006; 81(6): 829 - 832.
[Abstract] [Full Text] [PDF]


Home page
Mayo Clin Proc.Home page
J. C. Vaglio Jr, A. M. Reyburn, and A. Prasad
63-Year-Old Woman With Acute Chest Pain
Mayo Clin. Proc., April 1, 2006; 81(4): 537 - 540.
[Full Text] [PDF]


Home page
Eur J EchocardiogrHome page
W. Desmet
Dynamic LV obstruction in apical ballooning syndrome: The chicken or the egg
Eur J Echocardiogr, January 1, 2006; 7(1): 1 - 4.
[Full Text] [PDF]


Home page
Eur J EchocardiogrHome page
E. Merli, S. Sutcliffe, M. Gori, and G. G.R. Sutherland
Tako-Tsubo cardiomyopathy: New insights into the possible underlying pathophysiology
Eur J Echocardiogr, January 1, 2006; 7(1): 53 - 61.
[Abstract] [Full Text] [PDF]


Home page
CirculationHome page
M. Inoko, J. Nakashima, T. Haruna, K. Nakano, T. Yanazume, E. Nakane, T. Kinugawa, H. Ohwaki, M. Ishikawa, and R. Nohara
Serial Changes of the Electrocardiogram During the Progression of Subarachnoidal Hemorrhage
Circulation, November 22, 2005; 112(21): e331 - e332.
[Full Text] [PDF]


Home page
J Am Coll CardiolHome page
K. A. Bybee and C. S. Rihal
Myocardial infarction in the absence of obstructive epicardial coronary disease.
J. Am. Coll. Cardiol., August 16, 2005; 46(4): 740 - 740.
[Full Text] [PDF]


Home page
ChestHome page
J.-H. Park, S.-J. Kang, J.-K. Song, H. K. Kim, C. M. Lim, D.-H. Kang, and Y. Koh
Left Ventricular Apical Ballooning Due to Severe Physical Stress in Patients Admitted to the Medical ICU
Chest, July 1, 2005; 128(1): 296 - 302.
[Abstract] [Full Text] [PDF]


Home page
NEJMHome page
A. Maseri, S. Kurisu, I. Inoue, T. Kawagoe, T. Kadhiravan, I. S. Wittstein, and H. C. Champion
Myocardial Stunning Due to Sudden Emotional Stress
N. Engl. J. Med., May 5, 2005; 352(18): 1923 - 1925.
[Full Text] [PDF]


Home page
NEJMHome page
I. S. Wittstein, D. R. Thiemann, J. A.C. Lima, K. L. Baughman, S. P. Schulman, G. Gerstenblith, K. C. Wu, J. J. Rade, T. J. Bivalacqua, and H. C. Champion
Neurohumoral Features of Myocardial Stunning Due to Sudden Emotional Stress
N. Engl. J. Med., February 10, 2005; 352(6): 539 - 548.
[Abstract] [Full Text] [PDF]


Home page
CirculationHome page
G. W. Dec
Recognition of the Apical Ballooning Syndrome in the United States
Circulation, February 1, 2005; 111(4): 388 - 390.
[Full Text] [PDF]


Home page
CirculationHome page
S. W. Sharkey, J. R. Lesser, A. G. Zenovich, M. S. Maron, J. Lindberg, T. F. Longe, and B. J. Maron
Acute and Reversible Cardiomyopathy Provoked by Stress in Women From the United States
Circulation, February 1, 2005; 111(4): 472 - 479.
[Abstract] [Full Text] [PDF]


Home page
ANN INTERN MEDHome page
K. A. Bybee, T. Kara, A. Prasad, A. Lerman, G. W. Barsness, R. S. Wright, and C. S. Rihal
Systematic Review: Transient Left Ventricular Apical Ballooning: A Syndrome That Mimics ST-Segment Elevation Myocardial Infarction
Ann Intern Med, December 7, 2004; 141(11): 858 - 865.
[Abstract] [Full Text] [PDF]


Home page
HeartHome page
L Pison, P De Vusser, and W Mullens
Apical ballooning in relatives
Heart, December 1, 2004; 90(12): e67 - e67.
[Abstract] [Full Text] [PDF]


Home page
QJMHome page
Y.J. Akashi, H. Musha, K. Nakazawa, and F. Miyake
Plasma brain natriuretic peptide in takotsubo cardiomyopathy
QJM, September 1, 2004; 97(9): 599 - 607.
[Abstract] [Full Text] [PDF]


Home page
JNMHome page
Y. J. Akashi, K. Nakazawa, M. Sakakibara, F. Miyake, H. Musha, and K. Sasaka
123I-MIBG Myocardial Scintigraphy in Patients with "Takotsubo" Cardiomyopathy
J. Nucl. Med., July 1, 2004; 45(7): 1121 - 1127.
[Abstract] [Full Text] [PDF]


Home page
Mayo Clin Proc.Home page
Y. J. Akashi, T. Tejima, H. Sakurada, H. Matsuda, K. Suzuki, K. Kawasaki, K. Tsuchiya, N. Hashimoto, H. Musha, M. Sakakibara, et al.
Left Ventricular Rupture Associated With Takotsubo Cardiomyopathy
Mayo Clin. Proc., June 1, 2004; 79(6): 821 - 824.
[Abstract] [PDF]


Home page
NEJMHome page
J. Ako, Y. Honda, P. J. Fitzgerald, I. A. Andrianakis, E. D. Papadomichelakis, A. N. Kotanidou, T. O. Cheng, E. Fossum, K. Nils-Einar, A. Mangschau, et al.
Conditions Associated with ST-Segment Elevation
N. Engl. J. Med., March 11, 2004; 350(11): 1152 - 1155.
[Full Text] [PDF]


Home page
J Am Coll CardiolHome page
M. Penas-Lado, R. Barriales-Villa, and J. Goicolea
Transient left ventricular apical ballooning and outflow tract obstruction
J. Am. Coll. Cardiol., September 17, 2003; 42(6): 1143 - 1144.
[Full Text] [PDF]


Home page
J Am Coll CardiolHome page
Y. Abe
Transient left ventricular apical ballooning and outflow tract obstruction: Reply
J. Am. Coll. Cardiol., September 17, 2003; 42(6): 1144 - 1144.
[Full Text] [PDF]


Home page
HeartHome page
Y Abe and M Kondo
Apical ballooning of the left ventricle: a distinct entity?
Heart, September 1, 2003; 89(9): 974 - 976.
[Full Text] [PDF]


Home page
HeartHome page
W J R Desmet, B F M Adriaenssens, and J A Y Dens
Apical ballooning of the left ventricle: first series in white patients
Heart, September 1, 2003; 89(9): 1027 - 1031.
[Abstract] [Full Text] [PDF]


Home page
J. Neurol. Neurosurg. PsychiatryHome page
M Oomura, T Yamawaki, H Oe, H Moriwaki, K Miyashita, H Naritomi, and Y Yasumura
Association of cardiomyopathy caused by autonomic nervous system impairment with the Miller Fisher syndrome
J. Neurol. Neurosurg. Psychiatry, May 1, 2003; 74(5): 689 - 690.
[Full Text]


Home page
J Am Coll CardiolHome page
Y. Abe, M. Kondo, R. Matsuoka, M. Araki, K. Dohyama, and H. Tanio
Assessment of clinical features in transient left ventricular apical ballooning
J. Am. Coll. Cardiol., March 5, 2003; 41(5): 737 - 742.
[Abstract] [Full Text] [PDF]


Home page
J Am Coll CardiolHome page
S. Kurisu, I. Inoue, T. Kawagoe, M. Ishihara, Y. Shimatani, K. Nishioka, T. Umemura, S. Nakamura, M. Yoshida, and H. Sato
Myocardial perfusion and fatty acid metabolism in patients with tako-tsubo-like left ventricular dysfunction
J. Am. Coll. Cardiol., March 5, 2003; 41(5): 743 - 748.
[Abstract] [Full Text] [PDF]


Home page
J Am Coll CardiolHome page
K. Tsuchihashi
Transient left ventricular apical ballooning without coronary artery stenosis: a form of stunning-like phenomenon? Reply
J. Am. Coll. Cardiol., February 20, 2002; 39(4): 741 - 742.
[Full Text] [PDF]


Home page
J Am Coll CardiolHome page
J. Ako, K. Kozaki, M. Yoshizumi, and Y. Ouchi
Transient left ventricular apical ballooning without coronary artery stenosis: a form of stunning-like phenomenon?
J. Am. Coll. Cardiol., February 20, 2002; 39(4): 741 - 741.
[Full Text] [PDF]


Home page
J Am Coll CardiolHome page
K. Tsuchihashi
Reply
J. Am. Coll. Cardiol., January 2, 2002; 39(1): 181 - 182.
[Full Text] [PDF]


Home page
J Am Coll CardiolHome page
V. J. Castro, C. Larrauri, and A. Bryce
Transient ischemia as a possible etiology for ventricular dysfunction
J. Am. Coll. Cardiol., January 2, 2002; 39(1): 181 - 181.
[Full Text] [PDF]



 
  CME Topic Collections Past Issues Search Current Issue Home

Advertisement