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Open Access Case Report

Apical ballooning syndrome: a case report

Konstantinos M Lampropoulos12*, Dimitrios Kotsas1 and Themistoklis A Iliopoulos2

Author affiliations

1 Department of Cardiology, Polyclinic General Hospital of Athens, 31, L. Porfyra str, Athens, 16673, Greece

2 Department of Cardiology, 251 AirForce General Hospital of Athens, Athens, Greece

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Citation and License

BMC Research Notes 2012, 5:698  doi:10.1186/1756-0500-5-698

Published: 27 December 2012

Abstract

Background

Apical ballooning syndrome mimics acute coronary syndromes and it is characterized by reversible left ventricular apical ballooning in the absence of angiographically significant coronary artery stenosis.

Case presentation

This is a case of a 40-year-old Caucasian male without any health related problems that was submitted to an urgent coronary angiography because of acute chest pain and marked precordial T-wave inversions suggestive of acute myocardial ischemia. Coronary angiography showed no significant stenosis of the coronary arteries. Left ventriculography showed systolic apical ballooning with mild basal hypercontraction.

Conclusion

Physicians should be aware of the presentation of apical ballooning syndrome, and the chest pain after following acute stress should not be readily attributed to anxiety.

Keywords:
Apical ballooning syndrome; Stress cardiomyopathy; Acute coronary syndrome