Transient Midventricular Ballooning Syndrome. A New Variant

R. Todd Hurst, J. Wells Askew, Christina S. Reuss, Richard W. Lee, John P. Sweeney, F. David Fortuin, Jae Kuen Oh, A. Jamil Tajik

Research output: Contribution to journalArticle

216 Citations (Scopus)

Abstract

We describe a new variant of transient left ventricular (LV) ballooning in North American Caucasian patients in which only the midventricle is affected. The patients described in this case series initially presented with emotional or physical stress and had similarities to transient apical ballooning syndrome; however, this variant is unique in that the transient ballooning involves the midventricle with hypercontractility of the apical and basal segments. The presentation, clinical features, and transient nature of the reported cases in this series are similar to transient LV apical ballooning and suggest a shared pathophysiologic etiology. Sparing of the apical segment with involvement of midventricle only supports etiologies not related to an epicardial coronary artery distribution. Although the pathophysiologic mechanism of the transient ventricular ballooning syndromes and other cases of catecholamine-associated transient ventricular dysfunction are not well understood, the emergence of this new variant raises further questions in the understanding of the "brain-heart" relationship.

Original languageEnglish (US)
Pages (from-to)579-583
Number of pages5
JournalJournal of the American College of Cardiology
Volume48
Issue number3
DOIs
StatePublished - Aug 1 2006

Fingerprint

Takotsubo Cardiomyopathy
Ventricular Dysfunction
Catecholamines
Coronary Vessels
Brain

ASJC Scopus subject areas

  • Nursing(all)

Cite this

Hurst, R. T., Askew, J. W., Reuss, C. S., Lee, R. W., Sweeney, J. P., Fortuin, F. D., ... Tajik, A. J. (2006). Transient Midventricular Ballooning Syndrome. A New Variant. Journal of the American College of Cardiology, 48(3), 579-583. https://doi.org/10.1016/j.jacc.2006.06.015

Transient Midventricular Ballooning Syndrome. A New Variant. / Hurst, R. Todd; Askew, J. Wells; Reuss, Christina S.; Lee, Richard W.; Sweeney, John P.; Fortuin, F. David; Oh, Jae Kuen; Tajik, A. Jamil.

In: Journal of the American College of Cardiology, Vol. 48, No. 3, 01.08.2006, p. 579-583.

Research output: Contribution to journalArticle

Hurst, RT, Askew, JW, Reuss, CS, Lee, RW, Sweeney, JP, Fortuin, FD, Oh, JK & Tajik, AJ 2006, 'Transient Midventricular Ballooning Syndrome. A New Variant', Journal of the American College of Cardiology, vol. 48, no. 3, pp. 579-583. https://doi.org/10.1016/j.jacc.2006.06.015
Hurst RT, Askew JW, Reuss CS, Lee RW, Sweeney JP, Fortuin FD et al. Transient Midventricular Ballooning Syndrome. A New Variant. Journal of the American College of Cardiology. 2006 Aug 1;48(3):579-583. https://doi.org/10.1016/j.jacc.2006.06.015
Hurst, R. Todd ; Askew, J. Wells ; Reuss, Christina S. ; Lee, Richard W. ; Sweeney, John P. ; Fortuin, F. David ; Oh, Jae Kuen ; Tajik, A. Jamil. / Transient Midventricular Ballooning Syndrome. A New Variant. In: Journal of the American College of Cardiology. 2006 ; Vol. 48, No. 3. pp. 579-583.
@article{73f9ddc7df104cf884ca03ca7f77e340,
title = "Transient Midventricular Ballooning Syndrome. A New Variant",
abstract = "We describe a new variant of transient left ventricular (LV) ballooning in North American Caucasian patients in which only the midventricle is affected. The patients described in this case series initially presented with emotional or physical stress and had similarities to transient apical ballooning syndrome; however, this variant is unique in that the transient ballooning involves the midventricle with hypercontractility of the apical and basal segments. The presentation, clinical features, and transient nature of the reported cases in this series are similar to transient LV apical ballooning and suggest a shared pathophysiologic etiology. Sparing of the apical segment with involvement of midventricle only supports etiologies not related to an epicardial coronary artery distribution. Although the pathophysiologic mechanism of the transient ventricular ballooning syndromes and other cases of catecholamine-associated transient ventricular dysfunction are not well understood, the emergence of this new variant raises further questions in the understanding of the {"}brain-heart{"} relationship.",
author = "Hurst, {R. Todd} and Askew, {J. Wells} and Reuss, {Christina S.} and Lee, {Richard W.} and Sweeney, {John P.} and Fortuin, {F. David} and Oh, {Jae Kuen} and Tajik, {A. Jamil}",
year = "2006",
month = "8",
day = "1",
doi = "10.1016/j.jacc.2006.06.015",
language = "English (US)",
volume = "48",
pages = "579--583",
journal = "Journal of the American College of Cardiology",
issn = "0735-1097",
publisher = "Elsevier USA",
number = "3",

}

TY - JOUR

T1 - Transient Midventricular Ballooning Syndrome. A New Variant

AU - Hurst, R. Todd

AU - Askew, J. Wells

AU - Reuss, Christina S.

AU - Lee, Richard W.

AU - Sweeney, John P.

AU - Fortuin, F. David

AU - Oh, Jae Kuen

AU - Tajik, A. Jamil

PY - 2006/8/1

Y1 - 2006/8/1

N2 - We describe a new variant of transient left ventricular (LV) ballooning in North American Caucasian patients in which only the midventricle is affected. The patients described in this case series initially presented with emotional or physical stress and had similarities to transient apical ballooning syndrome; however, this variant is unique in that the transient ballooning involves the midventricle with hypercontractility of the apical and basal segments. The presentation, clinical features, and transient nature of the reported cases in this series are similar to transient LV apical ballooning and suggest a shared pathophysiologic etiology. Sparing of the apical segment with involvement of midventricle only supports etiologies not related to an epicardial coronary artery distribution. Although the pathophysiologic mechanism of the transient ventricular ballooning syndromes and other cases of catecholamine-associated transient ventricular dysfunction are not well understood, the emergence of this new variant raises further questions in the understanding of the "brain-heart" relationship.

AB - We describe a new variant of transient left ventricular (LV) ballooning in North American Caucasian patients in which only the midventricle is affected. The patients described in this case series initially presented with emotional or physical stress and had similarities to transient apical ballooning syndrome; however, this variant is unique in that the transient ballooning involves the midventricle with hypercontractility of the apical and basal segments. The presentation, clinical features, and transient nature of the reported cases in this series are similar to transient LV apical ballooning and suggest a shared pathophysiologic etiology. Sparing of the apical segment with involvement of midventricle only supports etiologies not related to an epicardial coronary artery distribution. Although the pathophysiologic mechanism of the transient ventricular ballooning syndromes and other cases of catecholamine-associated transient ventricular dysfunction are not well understood, the emergence of this new variant raises further questions in the understanding of the "brain-heart" relationship.

UR - http://www.scopus.com/inward/record.url?scp=33746192563&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=33746192563&partnerID=8YFLogxK

U2 - 10.1016/j.jacc.2006.06.015

DO - 10.1016/j.jacc.2006.06.015

M3 - Article

C2 - 16875987

AN - SCOPUS:33746192563

VL - 48

SP - 579

EP - 583

JO - Journal of the American College of Cardiology

JF - Journal of the American College of Cardiology

SN - 0735-1097

IS - 3

ER -