Transient Left Ventricular Apical Ballooning
Authors: Junya Ako, Yasuhiro Honda, Peter J. Fitzgerald
Journal: Annals of Internal Medicine (2005)

Letters19 April 2005Transient Left Ventricular Apical BallooningJunya Ako, MD, Yasuhiro Honda, MD, and Peter J. Fitzgerald, MD, PhDJunya Ako, MDFrom Stanford University, Stanford, CA 94305.Search for more papers by this author, Yasuhiro Honda, MDFrom Stanford University, Stanford, CA 94305.Search for more papers by this author, and Peter J. Fitzgerald, MD, PhDFrom Stanford University, Stanford, CA 94305.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-142-8-200504190-00026 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:In their systematic review of transient left ventricular apical ballooning, Bybee and colleagues (1) correctly describe this unusual disorder and propose criteria for its clinical diagnosis. We, however, disagree with their proposal to exclude patients with head trauma and intracranial bleeding.Left ventricular dysfunction is known to occur in patients with acute brain injury. This left ventricular dysfunction is usually reversible within weeks (2), and the dysfunction pattern is reasonably similar to the transient disorder described in Bybee and colleagues' article. In view of the resemblance of clinical pictures, we believe the left ventricular dysfunction after acute ...References1. Bybee KA, Kara T, Prasad A, Lerman A, Barsness GW, Wright RS, et al. Systematic review: transient left ventricular apical ballooning: a syndrome that mimics ST-segment elevation myocardial infarction. Ann Intern Med. 2004;141:858-65. [PMID: 15583228] LinkGoogle Scholar2. Kono T, Morita H, Kuroiwa T, Onaka H, Takatsuka H, Fujiwara A. Left ventricular wall motion abnormalities in patients with subarachnoid hemorrhage: neurogenic stunned myocardium. J Am Coll Cardiol. 1994;24:636-40. [PMID: 8077532] CrossrefMedlineGoogle Scholar3. Ako J, Honda Y, Fitzgerald PJ. Tako-tsubo-like left ventricular dysfunction [Letter]. Circulation. 2003;108:e158; author reply e158. [PMID: 14662694] Google Scholar Author, Article, and Disclosure InformationAuthors: Junya Ako, MD; Yasuhiro Honda, MD; Peter J. Fitzgerald, MD, PhDAffiliations: From Stanford University, Stanford, CA 94305. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoSystematic Review: Transient Left Ventricular Apical Ballooning: A Syndrome That Mimics ST-Segment Elevation Myocardial Infarction Kevin A. Bybee , Tomas Kara , Abhiram Prasad , Amir Lerman , Greg W. Barsness , R. Scott Wright , and Charanjit S. Rihal Transient Left Ventricular Apical Ballooning Kevin A. Bybee and Charanjit S. Rihal Transient Left Ventricular Apical Ballooning Borja Ibanez , Jeronimo Farre , and Felipe Navarro Transient Left Ventricular Apical Ballooning R. Alizadeh Dehnavi and E. E. van der Wall Metrics Cited byMyocardial dysfunction after subarachnoid haemorrhage and tako-tsubo cardiomyopathy: a differential diagnosis?Transient left ventricular dysfunction in patients with neurovascular eventsIntraoperative Left Ventricular Apical Ballooning: Transient Takotsubo Cardiomyopathy During Orthotopic Liver TransplantationThe systemic implications of aneurysmal subarachnoid hemorrhageThe Brain and the Heart 19 April 2005Volume 142, Issue 8Page: 678KeywordsBrainHead injuryHemorrhageNervous systemNeurosurgeryPathogenesisPsychologistsSystematic reviews ePublished: 19 April 2005 Issue Published: 19 April 2005 Copyright & PermissionsCopyright © 2005 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...