Open AccessRare recurrence of apical ballooning (takotsubo) syndrome in an elderly man
Author(s) -
Rosalyn Adigun,
Samantha Morley,
Abhiram Prasad
Publication year - 2018
Publication title -
bmj case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.231
H-Index - 26
ISSN - 1757-790X
DOI - 10.1136/bcr-2017-222451
Subject(s) - medicine , myocardial infarction , takotsubo syndrome , cardiology , perioperative , differential diagnosis , acute coronary syndrome , coronary artery disease , rare disease , disease , surgery , heart failure , cardiomyopathy , pathology
Apical ballooning syndrome (ABS) is an under recognised clinical entity characterised by acute reversible left ventricular systolic dysfunction that mimics acute myocardial infarction in the absence of obstructive coronary artery disease; typically occurring in the setting of profound stress. 1 ABS disproportionately affects older women and recurrences are infrequent. We, hereby, describe a rare phenomenon of recurrent ABS in an elderly male patient, 10 years apart, presenting with the same left ventricular morphological appearance following non-cardiac surgeries. The case illustrates the importance of considering ABS in the differential diagnosis of perioperative acute myocardial infarction in older men undergoing major surgery.