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J Am Coll Cardiol, 2003; 41:737-742, doi:10.1016/S0735-1097(02)02925-X
© 2003 by the American College of Cardiology Foundation
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Assessment of clinical features in transient left ventricular apical ballooning

Yoshiteru Abe, MD*, Makoto Kondo, MD*,*, Ryota Matsuoka, MD*, Makoto Araki, MD*, Kiyoshi Dohyama, MD* and Hitoshi Tanio, MD*

* Division of Cardiology, Shimada Municipal Hospital, Shimada, Shizuoka, Japan



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  		Figure 1 Left ventriculogram during the acute phase. Balloon-like asynergy at the apex with hypercontraction of the basal segment of the ventricle was observed.

 


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  		Figure 2 Serial electrocardiograms. Both the ST-segment elevation in leads I, aVF, and V2 through V6, and the loss of the R-wave voltage over the anterior precordial leads with the inverted T-wave in leads I, II, III, aVF, and V2 through V6 were observed on April 3, 2000. Note the rapid resolution of these changes.

 


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  		Figure 3 Resting technetium-99m tetrofosmin tomographic myocardial imaging. A decreased uptake at the apex of the ventricle that later returned to uniform was observed.

 


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  		Figure 4 Endomyocardial biopsy specimen. Interstitial myocardial fibrosis and small amounts of cellular infiltrates were observed (hematoxylin and eosin stain, x200).

 




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