一过性左室心尖部气球样变:以色列5例病例报道  

Transient left ventricular apical ballooning: Report of 5 Israeli patients

作　　者：Rosenmann D. Balkin J. Butnaru A. 韩瑞娟(译) 杜媛(校) 

机构地区：[1]Hans Bait 12 st, 91031 Jerusalem, Israel [2]不详

出　　处：《世界核心医学期刊文摘（心脏病学分册）》2006年第6期46-46,共1页

摘　　要：Background: Transient left ventricular(LV) apical ballooning is characterized by acute onset of chest pain with reversible balloon- like LV motion abnormality,hypercontractile basal segments, ST segment elevation or T- wave inversion in anterior chest leads and mild cardiac enzyme rise in the absence of significant coronary disease. Methods: We describe 5 patients(4 females) with anteroapical ballooning who were hospitalized with acute myocardial infarction and showed ST segment elevation in anterior chest leads. Results: Echocardiogram demonstrated apical ballooning with normal or hypercontractile contraction of the basal segments. Four patients had severe mitral incompetence and one had mild incompetence. All patients had also systolic anterior motion and 4 had a significant LV outflow(LVOT) gradient. All patients underwent cardiac catheterization soon after admission showing non- significant narrowing of the coronary arteries. At discharge 4 patients had normal LV function and 1 was mildly impaired. Conclusions: LV apical ballooning is relatively rare. It should be suspected in older patients, mainly women, with severe mitral incompetence and LVOT gradient.Background： Transient left ventricular（LV） apical ballooning is characterized by acute onset of chest pain with reversible balloon-like LV motion abnormality, hypercontractile basal segments, ST segment elevation or T-wave inversion in anterior chest leads and mild cardiac enzyme rise in the absence of significant coronary disease. Methods： We describe 5 patients（4 females） with anteroapical ballooning who were hospitalized with acute myocardial infarction and showed ST segment elevation in anterior chest leads. Results： Echocardiogram demonstrated apical ballooning with normal or hypercontractile contraction of the basal segments. Four patients had severe mitral incompetence and one had mild incompetence. All patients had also systolic anterior motion and 4 had a significant LV outflow（LVOT） gradient. All patients underwent cardiac catheterization soon after admission showing non-significant narrowing of the coronary arteries. At discharge 4 patients had normal LV function and 1 was mildly impaired. Conclusions： LV apical ballooning is relatively rare. It should be suspected in older patients, mainly women, with severe mitral incompetence and LVOT gradient.

关 键 词：左室心尖部 一过性 病例报道 胸前导联ST段抬高 二尖瓣关闭不全 以色列 急性心肌梗死 压力阶差 心肌酶升高 超声心电图 

分 类 号：R540.45[医药卫生—心血管疾病] R181.3[医药卫生—内科学]