Transient Mid-Ventricular Ballooning Due to Bad Dream in a P

Mid ventricular ballooning syndrome (MBS) is an atypical variant of Takotsubo cardiomyopathy (TCM) [1] . The clinical presentation is similar to TCM. It is characterized by transient wall motion abnormalities of the mid-segment of the left ventricle with apical sparing. We report a new trigger to this clinical entity.2.

Case Report

A 55-year-old woman presented early in the morning with a past history of hypothyroidism and diabetes mellitus accompanied by her husband to the emergency department after a sudden onset substernal chest pressure radiating to the shoulder blades and shortness of breath. An electrocardiogram and cardiac enzymes suggested acute myocardial infarction. Coronary angiography was performed which showed minimal coronary artery disease without a hemodynamically significant stenosis. Left ventriculography was notable for a low normal ejection fraction of 35%, an akinetic anterior and hypokinetic mid-ventricular walls (Figure 1). These findings were consistent with mid-ventricular ballooning syndrome....