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Apical ballooning syndrome and previous coronary artery disease: a novel relationship.

Abstract：

:Apical transient left ventricular diskynesia is a recently described entity able to imitate acute coronary syndrome. The presence of previous coronary artery disease (CAD) is an exclusion criterion for this diagnosis in several studies. We report the case of a sixty-three year-old-caucasian man with previously known CAD, left anterior descending artery (LAD) stented-disease, presenting in the emergency room with angina and ST-segment elevation. A coronariography was urgently performed. No new coronary lesions could be demonstrated. LAD-placed stents were patent and showed no change in their angiographic appearance. Left ventriculogram demonstrated apical diskynesia (Takotsubo-like). Complete and rapid resolution of left ventricular dysfunction was echocardiographycally displayed seven days later. Months after, coronary lesions increased associated with new acute coronary syndromes and new revascularization procedures were required. The present case supports the idea that CAD and apical transient diskynesia could coexist in the same patient, arising further questions about the pathophysiology, prognosis and management of the latter.

journal_name

Int J Cardiol

journal_title

International journal of cardiology

authors

Núñez-Gil IJ,García-Rubira JC,Fernández-Ortiz A,Vivas D,Gonzalez JJ,Luaces M,Macaya C

doi

10.1016/j.ijcard.2007.11.056

subject

Has Abstract

pub_date

2008-11-12 00:00:00

pages

e60-2

issue

2

eissn

0167-5273

issn

1874-1754

pii

S0167-5273(07)02068-2

journal_volume

130

pub_type

信件

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