Role of dynamic intraventricular obstruction and protective effect of beta-blocking therapy in left ventricular apical ballooning syndrome: a case report

Int J Cardiol. 2009 Feb 6;132(1):e37-9. doi: 10.1016/j.ijcard.2007.07.115. Epub 2007 Nov 26.

Abstract

This paper reports on a 58-year old woman with left ventricular apical ballooning syndrome (LVABS), who after interruption of beta-blocking therapy had a recurrence of symptoms and developed a severe dynamic left ventricular obstruction (LV-DYN-O) during sympathetic stimulation with dobutamine.

Publication types

  • Case Reports
  • Letter

MeSH terms

  • Adrenergic beta-Antagonists / therapeutic use*
  • Antihypertensive Agents / therapeutic use
  • Atenolol / therapeutic use
  • Echocardiography, Stress
  • Female
  • Heart Ventricles / diagnostic imaging
  • Heart Ventricles / physiopathology*
  • Humans
  • Middle Aged
  • Myocardial Contraction / drug effects
  • Stroke Volume / drug effects
  • Ventricular Dysfunction, Left / diagnostic imaging
  • Ventricular Dysfunction, Left / drug therapy*
  • Ventricular Dysfunction, Left / physiopathology
  • Ventricular Outflow Obstruction / diagnostic imaging
  • Ventricular Outflow Obstruction / drug therapy
  • Ventricular Outflow Obstruction / physiopathology

Substances

  • Adrenergic beta-Antagonists
  • Antihypertensive Agents
  • Atenolol