A Case of Stress-Induced Cardiomyopathy Related with the Postpartum Period

Jeon, Jun Han; Her, Sung Ho; Lee, Jong Min; Yoon, Hee Jeoung; Chin, Jung Yeon; Park, Ki Hoon; Won, Kang Yeon; Jie, Byung Soo; Park, Ye Ree; Jin, Seung Won

doi:10.4070/kcj.2007.37.8.388

Cited by 1 publication

(1 citation statement)

References 17 publications

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“…Transient left ventricular apical ballooning syndrome is an acute, self-limited cardiac disease that was first described in Japan and it has subsequently been recognized in other countries as well [1][2][3][4][7][8][9][10][11][12]. Although there are many case reports of adult TLV-ABS, TLVABS is rare in children and so it is not well known to pediatricians.…”

Section: Discussionmentioning

confidence: 99%

A case of transient left ventricular apical ballooning syndrome in a child: clinical features and imaging findings

Lee

Choi

et al. 2010

Int J Cardiovasc Imaging

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Transient left ventricular apical ballooning syndrome (TLVABS) is an acute cardiac disease that is characterized by transient left ventricular systolic dysfunction involving the apical region. The symptoms and electrocardiographic changes of TLVABS mimic those observed in acute myocardial infarction while obstructive coronary arterial lesions are not seen in patients with TLVABS. TLVABS usually occurs in elderly women after physical or emotional stress. However, it is very rare in children and so it not well known to pediatricians. Accordingly, TLVABS in children can be misdiagnosed as myocarditis or cardiomyopathy. We report here on a case of child who showed the typical findings of TLVABS in association with pericarditis. He presented with dyspnea and pericardial effusion, which required pericardiocentesis. After pericardiocentesis, he showed the typical echocardiographic and electrocardiographic findings of TLVABS. The MRI findings at 14 days after the initial symptoms showed normal coronary arteries and normal left ventricular function without any wall motion abnormalities. In addition, no delayed hyper enhancement was found on delayed-enhanced (DE)-MRI. We also reviewed the other reported cases of TLVABS in patients who were under the age of 40.

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