Akinwande Olagoke, Hamirani Yasmin, Chopra Ashok
Department of Medicine - St, Agnes Hospital, Baltimore MD, USA.
Cases J. 2008 May 23;1(1):8. doi: 10.1186/1757-1626-1-8.
Left ventricular apical ballooning (LVAB) is a type of cardiomyopathy precipitated by emotional or physiological stress, which results in transient left ventricular dysfunction and electrocardiographic (ECG) changes with relatively normal coronary arteries.
We present a case describing the complexity of the diagnosis of LVAB in a patient with cardiovascular risk factors. We also review the literature from the initial discovery of this condition to the new developments.
In patients with cardiovascular risk factors, diagnosis of LVAB is a challenge due to the similarities in symptoms with acute coronary syndrome. Such patients should be managed as an acute coronary syndrome until the definitive diagnosis is made. However, LVAB must still be maintained as a differential diagnosis in those patients to avoid unnecessary therapy.
左心室尖部气球样变（LVAB）是一种由情绪或生理应激诱发的心肌病，可导致短暂性左心室功能障碍和心电图（ECG）改变，而冠状动脉相对正常。
我们报告一例病例，描述了一名有心血管危险因素患者LVAB诊断的复杂性。我们还回顾了从该疾病最初发现到新进展的文献。
在有心血管危险因素的患者中，由于LVAB症状与急性冠状动脉综合征相似，其诊断具有挑战性。在明确诊断之前，此类患者应按急性冠状动脉综合征进行处理。然而，对于这些患者，仍必须将LVAB作为鉴别诊断，以避免不必要的治疗。
