Abstract
We report the case of a 79-year-old woman with transient left ventricular systolic dysfunction with apical ballooning (tako-tsubo like syndrome, TTS) showing an alternative newly reported “onion” shape. The patient was also characterized by atrial fibrillation and marked spontaneous echo-contrast: possible precipitating role for these conditions in TTS are discussed.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Donohue D, Movahed MR (2005) Clinical characteristics, demographics and prognosis of transient left ventricular apical ballooning syndrome. Heart Fail Rev 10:311–316
Ueyama T, Kasamatsu K, Hano T, Yamamoto K, Tsuruo Y, Nishio I (2002) Emotional stress induces transient left ventricular hypocontraction in the rat via activation of cardiac adrenoceptors: a possible animal model of ‘tako-tsubo’ cardiomyopathy. Circ J 66:712–713
Ueyama T, Senba E, Kasamatsu K, Hano T, Yamamoto K, Nishio I, Tsuruo Y, Yoshida K (2003) Molecular mechanism of emotional stress-induced and catecholamine-induced heart attack. J Cardiovasc Pharmacol 41(Suppl 1):S115–S118
Leung Ki EL, Delabays A, Lyon X, Pruvot E (2007) A case of recurrent transient left ventricular apical ballooning associated with atrial fibrillation. Int J Cardiol 118:e35–e38
Eggleton S, Mathur G, Lambros J (2007) An unusual precipitant of Tako-Tsubo cardiomyopathy. Heart Lung Circ Dec 12 2007 (Epub ahead of print)
Mawad W, Guerra PG, Dubuc M, Khairy P (2007) Tako-tsubo cardiomyopathy following transcatheter radiofrequency ablation of the atrioventricular node. Europace 9:1075–1076
Derntl M, Woo GW, Gwechenberger M, Mundigler G, Marx M, Richter B, Gössinger HD, Gonzalez MD (2007) Tako-tsubo cardiomyopathy complicating left atrial radiofrequency ablation. J Cardiovasc Electrophysiol 18:667–671
Kume T, Kawamoto T, Okura H, Toyota E, Neishi Y, Watanabe N, Hayashida A, Okahashi N, Yoshimura Y, Saito K, Nezuo S, Yamada R, Yoshida K (2008) Local release of catecholamines from the hearts of patients with tako-tsubo-like left ventricular dysfunction. Circ J 72:106–108
Amfilochiadis AA, Backx PH, Floras JS (2008) Adrenomedullary catecholamine, pressor and chronotropic responses to human coagulation beta-FXIIa mediated by endogenous kinins. J Hypertens 26:61–69
Mavrogiannis L, Trambakoulos DM, Boomsma F, Osmond DH (2002) The sympathoadrenal system mediates the blood pressure and cardiac effects of human coagulation factor XII-related “new pressor protein”. Can J Cardiol 18:1077–1086
Hatzinikolaou-Kotsakou E, Kartasis Z, Tziakas D, Hotidis A, Stakos D, Tsatalas K, Bourikas G, Kotsakou ME, Hatseras DI (2003) Atrial fibrillation and hypercoagulability: dependent on clinical factors or/and on genetic alterations? J Thromb Thrombolysis 16:155–161
Rader VJ, Khumri TM, Idupulapati M, Stoner CN, Magalski A, Main ML (2007) Clinical predictors of left atrial thrombus and spontaneous echocardiographic contrast in patients with atrial fibrillation. J Am Soc Echocardiogr 20:1181–1185
von Kaènel R, Dimsdale JE (2000) Effects of sympathetic activation by adrenergic infusions on hemostasis in vivo. Eur J Haematol 65:357–369
Wirtz PH, Ehlert U, Emini L, Rüdisüli K, Groessbauer S, Mausbach BT, von Känel R (2006) The role of stress hormones in the relationship between resting blood pressure and coagulation activity. J Hypertens 24:2409–2416
von Kanel R, Dimsdale JE, Adler KA, Dillon E, Perez CJ, Mills PJ (2003) Effects of nonspecific beta-adrenergic stimulation and blockade on blood coagulation in hypertension. J Appl Physiol 94:1455–1459
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Brunetti, N.D., Ieva, R., Correale, M. et al. Alternative presentation of Tako-Tsubo syndrome with spontaneous echo-contrast and “onion” shaped apical ballooning. J Thromb Thrombolysis 28, 242–244 (2009). https://doi.org/10.1007/s11239-008-0271-5
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11239-008-0271-5