Clinical characteristics and Thrombolysis In Myocardial Infarction frame counts in women with transient left ventricular apical ballooning syndrome

The characteristics of 16 women with transient left ventricular (LV) apical ballooning syndrome in a United States population are presented. Additionally, Thrombolysis In Myocardial Infarction (TIMI) frame counts were evaluated during the acute period. Patients generally presented with anterior ST-e...

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Bibliographic Details
Published in:The American journal of cardiology 2004-08, Vol.94 (3), p.343-346
Main Authors: Bybee, Kevin A, Prasad, Abhiram, Barsness, Greg W, Lerman, Amir, Jaffe, Allan S, Murphy, Joseph G, Wright, R.Scott, Rihal, Charanjit S
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Biological and medical sciences
Cardiology
Cardiology. Vascular system
Coronary Angiography - methods
Coronary heart disease
Echocardiography, Doppler
Electrocardiography
Female
Follow-Up Studies
Heart
Heart attacks
Heart Function Tests
Humans
Medical disorders
Medical sciences
Middle Aged
Myocardial Infarction - complications
Myocardial Infarction - diagnosis
Myocardial Infarction - drug therapy
Myocarditis. Cardiomyopathies
Prospective Studies
Risk Assessment
Severity of Illness Index
Syndrome
Thrombolytic Therapy - methods
Treatment Outcome
United States
Ventricular Dysfunction, Left - complications
Ventricular Dysfunction, Left - diagnosis
Ventricular Dysfunction, Left - therapy
Women
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Description
Summary:The characteristics of 16 women with transient left ventricular (LV) apical ballooning syndrome in a United States population are presented. Additionally, Thrombolysis In Myocardial Infarction (TIMI) frame counts were evaluated during the acute period. Patients generally presented with anterior ST-elevation acute coronary syndrome in the absence of obstructive coronary disease. All patients had LV apical wall motion abnormalities. An acute emotional or physiologic stressor preceded most cases. TIMI frame counts were abnormal in all patients and often abnormal in all 3 major coronary vessels, suggesting that the diffuse impairment of coronary microcirculatory function may play a role in the pathogenesis of the syndrome.
ISSN:0002-9149
1879-1913
DOI:10.1016/j.amjcard.2004.04.030