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European Journal of Echocardiography 2006 7(1):1-4; doi:10.1016/j.euje.2005.10.005
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Copyright © 2005, The European Society of Cardiology

Dynamic LV obstruction in apical ballooning syndrome: The chicken or the egg

Walter Desmet

UH Gasthuisberg, Leuven, Belgium

Received 3 October 2005; .

walter.desmet@uz.kuleuven.ac.be

The first 150 words of the full text of this article appear below.

Please see page 53 for the article by Merli et al. (doi: 10.1016/j.euje.2005.08.003) to which this editorial pertains.


   The apical ballooning syndrome: a distinct entity
 
Between 1990 and 2001 several cases of a new heart syndrome have been reported in Japan, all in Japanese journals. This syndrome consisted of acute onset, transient left ventricular apical wall motion abnormalities with chest symptoms, electrocardiographic changes and minimal myocardial enzymatic release mimicking acute myocardial infarction in patients without significant stenosis on coronary angiogram.

It was named "Tako-tsubo" – shaped cardiomyopathy due to its unique "short neck round – flask" – like left ventricular apical ballooning resembling the Tako-Tsubo (Japanese for octopus pot or trap) of Japan. These reports received little or no attention in Western literature, until in 2001 a series of 88 patients were published,1 retrospectively enrolled from cardiovascular institutes of Angina Pectoris–Myocardial Infarction investigations in Japan. In addition to describing symptoms and electrocardiographic and hemodynamic findings, . . . [Full Text of this Article]


   Pathophysiology
 

   Therapy and prevention of recurrence
 

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Related articles in Eur J Echocardiogr:

Tako-Tsubo cardiomyopathy: New insights into the possible underlying pathophysiology
Elisa Merli, Stephen Sutcliffe, Mauro Gori, and George G.R. Sutherland
Eur J Echocardiogr 2006 7: 53-61. [Abstract] [FREE Full Text]