01-09-2007 | images in cardiology
Full pattern of transient apical ballooning of the left ventricle triggered by minor myocardial infarction
Gepubliceerd in: Netherlands Heart Journal | Uitgave 9/2007
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A 60-year-old female with a history of hypertension, hypercholesterolaemia, and diabetes mellitus presented two hours after sudden onset of severe persistent chest pain. Electrocardiography showed ST-segment elevation in the inferolateral leads (figure 1A). Coronary angiography revealed a subtotal occlusion of a small left marginal side branch (figure 1B; arrow) and a normal right coronary artery, which could not explain the full typical pattern of apical ballooning as demonstrated by left ventricular angiography (figure 1C and D; arrows).