Transient left midventricular dyskinesia : clinical features of a new variant

We report five consecutive patients with transient midventricular dyskinesia, a recently described variant of transient apical dyskinesia. It is a syndrome that shares a broad clinical, prognostic and, probably, pathogenetic resemblance to the latter. The patients, the majority of whom were experiencing an episode of emotional or physical stress, were all admitted to an emergency department with a clinical presentation compatible with acute myocardial infarction. Evidence of dyskinesia or akinesia in midventricular segments was seen on ventriculography. These ventricular abnormalities resolved completely over a short period of time. No coronary artery abnormality was evident in any patient. The existence of this variant shows that segments other than apical ventricular segments, which are affected in takotsubo syndrome, can also undergo reversible change. The occurrence of new variants raises further questions about the relationship between the nervous system, catecholamines and reversible myocardial lesions.

Errataetall:

CommentIn: Rev Esp Cardiol. 2008 Nov;61(11):1223-4; author reply 1224-5. - PMID 19000501

Medienart:

E-Artikel

Erscheinungsjahr:

2008

Erschienen:

2008

Enthalten in:

Zur Gesamtaufnahme - volume:61

Enthalten in:

Revista espanola de cardiologia - 61(2008), 3 vom: 22. März, Seite 322-6

Sprache:

Spanisch

Weiterer Titel:

Discinesia medioventricular izquierda transitoria: aspectos clínicos de una nueva variante

Beteiligte Personen:

Núñez Gil, Iván J [VerfasserIn]
García-Rubira, Juan C [VerfasserIn]
Luaces Méndez, María [VerfasserIn]
Fernández-Ortiz, Antonio [VerfasserIn]
Vivas Balcones, David [VerfasserIn]
González Ferrer, Juan J [VerfasserIn]
Macaya Miguel, Carlos [VerfasserIn]

Themen:

Case Reports
English Abstract
Journal Article

Anmerkungen:

Date Completed 03.06.2008

Date Revised 12.03.2009

published: Print

CommentIn: Rev Esp Cardiol. 2008 Nov;61(11):1223-4; author reply 1224-5. - PMID 19000501

Citation Status MEDLINE

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM178447897