n South African Medical Journal - A lady with a broken heart : apical ballooning syndrome : continuing medical education - case report
|Article Title||A lady with a broken heart : apical ballooning syndrome : continuing medical education - case report|
|© Publisher:||Health and Medical Publishing Group (HMPG)|
|Journal||South African Medical Journal|
|Affiliations||1 University of Cape Town and 2 University of Cape Town|
|Publication Date||May 2015|
Severe chest pain after an emotional argument resulted in the admission of a healthy 72-year-old woman. She was haemodynamically compromised, with an electrocardiogram (ECG) demonstrating anterior ST-depression and T-wave inversions. Her 6-hour troponin T level was 132 ng/L. Cardiac catheterisation revealed unobstructed coronary arteries and a reduced left ventricular ejection fraction (LVEF) of < 35%, with basal hyperkinesia and apical segment ballooning (Figs 2 - 5). She was discharged home after 3 days of supportive therapy. At 3 months she was asymptomatic, with an equilibrium radionuclide angiography scan revealing a normal heart with an LVEF of 73%.
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