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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