OBJECTIVES: Apical ballooning syndrome usually involves elderly women. We reported the profile of this syndrome in men. METHODS: We identified 54 consecutive patients with the syndrome: among them, seven were men (13%, group M) and 47 were women (87%, group F). RESULTS: Men were younger than women (group M 61.7 years vs. group F 72.8 years, median age, Pâ<â0.01) and emotional triggers predominated in women ( group M 14.3% vs. group F 44.7%, Pâ=â0.01) compared with physiological ones which were more frequent in men (group M 42.9% vs. group F 19.1%, Pâ=â0.02). At onset, men were more compromised than women (group M 42.9% vs. group F 6.4%, Pâ=â0.004). At the median follow-up of 18.5 months, more men died than women (group M 28.6% vs. group F 8.5%, Pâ=âNS), but only women had cardiac-related deaths (group M 0% vs. group F 6.4%, Pâ=âNS). Cardiac outcome was similar in both groups (group M 14.3% vs. group F 23.4%, Pâ=âNS). Left ventricular ejection fraction increased in both sexes from 41% to more than 56% (Pâ<â0.01). CONCLUSION: In this small case series, left ventricular apical ballooning syndrome showed similar features in both sexes. However, men seemed to be more affected at younger age, presented more physiological triggers and more compromised clinical status at admission. Despite this, cardiac outcome was good in both sexes.
Takotsubo Cardiomyopathy , Age Factors , Aged , Chi-Square Distribution , Coronary Angiography , Echocardiography, Doppler , Emotions , Female , Humans , Male , Middle Aged , Prognosis , Prospective Studies , Retrospective Studies , Risk Factors , Sex Factors , Stress, Physiological , Stress, Psychological/complications , Stroke Volume , Takotsubo Cardiomyopathy/diagnosis , Takotsubo Cardiomyopathy/etiology , Takotsubo Cardiomyopathy/mortality , Takotsubo Cardiomyopathy/physiopathology , Time Factors , Ventricular Function, Left
Angioplasty, Balloon, Coronary/instrumentation , Coronary Artery Disease/therapy , Drug-Eluting Stents , Situs Inversus/complications , Aged , Coronary Angiography , Coronary Artery Disease/complications , Coronary Artery Disease/diagnosis , Electrocardiography , Female , Humans , Situs Inversus/diagnosis , Treatment Outcome
We report a case of mitral valve repair complicated by iatrogenic coronary artery lesion. This rare coronary injury caused an acute ST-elevation myocardial infarction and it was treated successfully with a percutaneous coronary intervention.
Angioplasty, Balloon, Coronary , Coronary Vessels/injuries , Heart Injuries/therapy , Heart Valve Prosthesis Implantation/adverse effects , Mitral Valve Annuloplasty/adverse effects , Mitral Valve Insufficiency/surgery , Myocardial Infarction/therapy , Vascular System Injuries/therapy , Coronary Angiography , Heart Injuries/diagnostic imaging , Heart Injuries/etiology , Humans , Iatrogenic Disease , Male , Middle Aged , Myocardial Infarction/diagnostic imaging , Myocardial Infarction/etiology , Treatment Outcome , Vascular System Injuries/diagnostic imaging , Vascular System Injuries/etiology
