• Int. J. Cardiol. · Jan 2010

    Case Reports

    Transient left ventricular ballooning (tako-tsubo cardiomyopathy) soon after intravenous ergonovine injection following caesarean delivery.

    • Rodolfo Citro, Marco Pascotto, Gennaro Provenza, Giovanni Gregorio, and Eduardo Bossone.
    • UO UTIC-Cardiologia, San Luca Hospital. Vallo della Lucania, SA, Italy. rodolfocitro@tele2.it
    • Int. J. Cardiol. 2010 Jan 21; 138 (2): e31-4.

    AbstractTransient left ventricular ballooning also called tako-tsubo syndrome, is increasingly being recognized as cardiomyopathy mimicking the clinical scenario of an acute myocardial infarction. Generally, it is characterized by apical ballooning appearance of the left ventricle in the presence of normal coronary arteries on the angiogram. Recently, a variant form involving the midventricle with sparing of the apical and basal segments has been described. This syndrome is more prevalent in postmenopausal woman and usually preceded by extreme emotional and/or physical stress. We describe a case never reported before of transient left ventricular ballooning occurring during the early postpartum period after ergonovine injection rapidly evolving from a 'typical apical' ballooning into a 'midventricular' myocardial dysfunction.Copyright (c) 2008 Elsevier Ireland Ltd. All rights reserved.

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