Stress cardiomyopathy in thromboembolic arterial disease [Cardiomiopatia de stress no contexto de doença arterial trombo-embólica]

• Type: Article in International Scientific Journal
• Date: 2007

Authors

Mariano, L (Author) Other; Vilaca, I (Author) Other; Almeida, J (Author) Other; Garcia, M (Author) Other; Maciel, MJ (Author) FMUP

Journal

Title: Boletim da Sociedade Portuguesa de Cardiologia

Vol. 26

Pages: 265-270

ISSN: 0304-4750

Publisher: Sociedade Portuguesa De Cardiologia

Indexing

ISI Web of Knowledge

Scopus - 1 Citation

Other information

Authenticus ID: P-007-HMR

Abstract (EN): Apical ballooning is a novel clinical entity reported in different contexts of physical and psychological stress, which is more common in middle-aged women. Of unknown etiology, the syndrome is characterized by a sudden and transient dilatation of the left ventricular apex in the absence of obstructive atherosclerotic coronary disease or evidence of myocardial necrosis, with total late recovery of ventricular function. The authors report the case of a 53-year-old woman who was admitted to the emergency room with left arm ischemia and low cardiac output, requiring ventilatory support. Left catheterization showed typical medial and apical myocardial dysfunction, with normal coronary arteries. Transesophageal echocardiography revealed a thrombus attached to the lower face of the aortic arch, which probably explained the thromboembolism of the arm but was unlikely to be the cause of the left ventricular dysfunction since there were no enzymatic or electrocardiographic signs of myocardial necrosis and normal wall motion was fully recovered.

Language: English

Type (Professor's evaluation): Scientific