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Echocardiography and reversible left ventricular dysfunction.

Gerard P Aurigemma1, Dennis A Tighe

  • 1Division of Cardiovascular Medicine, Department of Medicine, University of Massachusetts Medical School, Worcester, Mass, USA. aurigemg@ummhc.org

The American Journal of Medicine
|January 25, 2006
PubMed
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Transient apical ballooning syndrome is increasingly recognized in hospitalized patients. Echocardiography aids in diagnosing this condition, often triggered by stress, in older women.

Area of Science:

  • Cardiology
  • Medical Diagnostics

Background:

  • Transient apical ballooning syndrome (TABS) is increasingly identified in hospitalized patients presenting with acute chest symptoms.
  • Echocardiography has significantly improved the recognition of various cardiac conditions, including TABS.

Purpose of the Study:

  • To review the clinical aspects of transient apical ballooning syndrome.
  • To discuss the role of echocardiography in diagnosing TABS.
  • To explore other conditions increasingly recognized due to echocardiography.

Main Methods:

  • Systematic review of existing medical literature on transient apical ballooning syndrome.

Main Results:

  • Seven recent studies on TABS show consistent clinical characteristics, biomarker data, echocardiographic findings, and angiographic data.

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  • The syndrome predominantly affects women in their seventh decade, often following a "trigger" event like emotional distress, illness, or procedures.
  • Chest symptoms are the primary presentation in afflicted individuals.

    • Conclusions:

    • Transient apical ballooning syndrome is a recognized condition among acutely ill, hospitalized patients with chest symptoms.
    • The precise mechanism remains unclear, but catecholamine-induced myocardial injury is a suspected contributor.
    • The widespread adoption of echocardiography is credited with the rising detection rates of TABS and similar syndromes.