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The apical ballooning syndrome (ABS) is a new diagnostic entity with typical characteristics which is increasingly recognized. The underlying mechanisms of this clinical entity mimicking acute coronary syndromes (ACS) are still controversially discussed. Coronary spasm, coronary emboli with spontaneous fibrinolysis, regional myocarditis, and stunning as a result of excessive catecholamines are some of the potential mechanisms. Precise magnetic resonance imaging (MRI) data are not yet available. We therefore evaluated MRI-parameters for the identification and differential diagnosis of apical ballooning syndrome. Cardiac MRI might be an imaging tool to further elucidate the underlying mechanisms.

225 Cardiac MRI for differential diagnosis of the apical ballooning syndrome – a series of 46 patients