Transient Cardiac Apical Ballooning Syndrome: Prevalence and Clinical Implications of Right Ventricular Involvement

• Published in: Journal of the American College of Cardiology 2006-03, Vol.47 (5), p.1082-1083
• Main Authors: Elesber, Ahmad A., Prasad, Abhiram, Bybee, Kevin A., Valeti, Uma, Motiei, Arashk, Lerman, Amir, Chandrasekaran, Krishnaswamy, Rihal, Charanjit S.
• Format: Article
• Language: English
• Subjects: Adult; Aged; Aged, 80 and over; Cardiology; Cardiopulmonary resuscitation; CPR; Female; Heart attacks; Hospitalization; Humans; Middle Aged; Patients; Prevalence; Syndrome; Ventricular Dysfunction, Left - etiology; Ventricular Dysfunction, Right - complications
• ISSN: 0735-1097; 1558-3597
• DOI: 10.1016/j.jacc.2005.12.004

[...]in TLVABS, RV involvement is relatively common and is reversible. Age (±SD), yrs 72(±11) 70(±13) 0.76 Presentation LV ejection fraction (±SD) 42(±14) 29(±9) 0.021 Presentation TR velocity (±SD), cm/s 2.7(±0.4) 3.2(±0.5) 0.030 Presentation IVC diameter, cm 1.9(±0.6) 2.1(±0.3) 0.36 Repeat LV ejection fraction (±SD) 63(±9) 58(±9) 0.23 Repeat TR velocity (±SD), cm/s 2.5(±0.6) 2.6(±0.4) 0.80 Repeat IVC diameter, cm 1.7(±0.6) 1.7(±0.4) 0.92 Follow-up time for repeat echocardiography (±SD), days 61(±55) 86(±115) 0.60 Hospital stay (±SD), days 7(±4) 11(±5) 0.033 Severe CHF 2 6 0.0016 Intubation 0 5 0.0003 IABP 0 3 0.0071 CPR 0 1 0.14 Severe CHF, IABP, or CPR 2 7 0.0002 LV thrombus 1 0 0.48 LV outflow tract obstruction 2 0 0.31 Follow-up after event (months) 19.3±13.9 7.0±6.3 0.026 Recurrence 0 1 0.14 Death 1 2 NS Table 1 Echocardiographic Data and Complications Incurred for Patients Without and With RV Involvement CHF = congestive heart failure; CPR = cardiopulmonary resuscitation; IABP = intra-aortic balloon pump; IVC = inferior vena cava; LV = left ventricular; NS = not significant; RV = right ventricular; TR = tricuspid valve regurgitation.