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Apical ballooning syndrome after attempted suicidal hanging
Jose Chacko1, Gagan Brar, Ashok Elangovan
1Multidisciplinary Intensive Care Unit, Manipal Hospital, Bangalore, India.
Summary
This case report describes Apical Ballooning Syndrome, also known as stress cardiomyopathy, occurring after a suicide attempt. The patient recovered fully within a week, showing normal heart function and ECG.
Area of Science:
- Cardiology
- Neurology
Background:
- Stress cardiomyopathy, or Apical Ballooning Syndrome, is a condition that can mimic acute coronary syndrome.
- It is often triggered by severe emotional or physical stress.
Observation:
- A patient presented with chest pain and ECG changes suggestive of a heart attack following an attempted suicide by hanging.
- Coronary angiography revealed normal coronary arteries.
Findings:
- The patient exhibited the characteristic left ventricular ballooning pattern of Apical Ballooning Syndrome.
- Electrocardiography changes reversed, and left ventricular function normalized within one week.
Implications:
- This case highlights the potential for severe psychological stress to precipitate cardiac events like stress cardiomyopathy.
- It underscores the importance of considering non-coronary causes of myocardial dysfunction in patients with significant stressors.
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