The Journal for Nurse Practitioners
Volume 5, Issue 10 , Pages 767-772 , November 2009

Apical Ballooning Syndrome: The Broken Heart Syndrome

  • Joanne L. Thanavaro

      Affiliations

    • Joanne L. Thanavaro, DNP, APRN-BC, ACRN-BC, DCC, is an associate professor of nursing at the St. Louis University School of Nursing in St. Louis, MO.
    • ,
  • Kristin L. Thanavaro

      Affiliations

    • Kristin L. Thanavaro, MD, is a resident in internal medicine at the University of Maryland Medical Center in Baltimore.

References 

  1. Prasad A , Lerman A , Rihal CS . Apical ballooning syndrome (Tako-Tsubo or stress cardiomyopathy): a mimic of acute myocardial infarction . Am Heart J . 2008;155:408–417
  2. Wittstein IS , Thiemann DR , Lima JAC , et al.   Neurohumoral features of myocardial stunning due to sudden emotional stress . NEJM . 2005;352:539–548
  3. Sharkey SW , Lesser JR , Zenovich AG , et al.   Acute and reversible cardiomyopathy provoked by stress in women in the United States . Circulation . 2005;111:472–479
  4. Witte DR , Bots ML , Hoes AW , Grobbee DE . Cardiovascular mortality in Dutch men during 1996 Europen Football Championship: longitudinal study . BMJ . 2000;7276:1552–1554
  5. Bybee KA , Kara T , Prasad A , et al.   Systematic review: transient left ventricular apical ballooning: a syndrome that mimics ST elevation myocardial infarction . Ann Intern Med . 2004;141:858–865
  6. Cangella F , Medolla A , De Fazio G , et al.   Stress induced cardiomyopathy presenting as acute coronary syndrome: Tako-Tsubo in Mercogliano, Southern Italy . Cardiovasc Ultrasound . 2007;5:1–6
  7. Akashi YJ , Nakazawa K , Sakakibara M , Miyake F , Musha H , Sasaka K . 123I-MIBG myocardial scintigraphy in patients with “TakoTsubo” cardiomyopathy . J Nucl Med . 2004;45:1121–1127
  8. Otsuka M , Kohno K , Itoh A . Periodic fluctuation of blood pressure and transient left ventricular apical ballooning in pheochromocytoma . Heart . 2006;92:1837
  9. Sanchez-Recalde A , Costero O , Oliver JM , Iborra C , Ruiz E , Sorbino JA . Images in cardiovascular medicine: pheochromocytoma-related cardiomyopathy: inverted Takotsubo contractile pattern . Circulation . 2006;113:e738–e739
  10. 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;24:636–640
  11. Yamanaka O , Yasumasa F , Nakamura T , Ohno A , Endo Y , Yoshimi K , et al.   “Myocardial Stunning”-like phenomenon during a crisis of pheochromocytoma . Jpn Circ J . 1994;58:737–742
  12. Bybee KA , Prasad A , Barsness G , Wright RS , Rihal CS . Clinical characteristics, outcomes and impaired myocardial microcirculation in patients with transient left ventricular apical ballooning syndrome: a case-series from a U.S. Medical Center . Am J Cardiol . 2004;94:343–346
  13. Gianni M , Dentali F , Grandi AM , Sumner G , Hiralal R , Lonn E . Apical ballooning syndrome or Takotsubo cardiomyopathy: a systematic review . Eur Heart J . 2006;27:1523–1529
  14. Porodi G , Del Pace S , Salvadori C , Carrabba N , Olivotto I , Gensini GF . Tuscany Registry of Tako-Tsubo Cardiomyopathy. Left ventricular apical ballooning syndrome as a novel cause of acute mitral regurgitation . J Am Coll Cardiol . 2007;50:647–649

 In compliance with national ethical guidelines, the authors report no relationships with business or industry that would pose a conflict of interest.

PII: S1555-4155(08)00604-1

doi: 10.1016/j.nurpra.2008.10.016

The Journal for Nurse Practitioners
Volume 5, Issue 10 , Pages 767-772 , November 2009

Article Tools

* Image Usage & Resolution