Abstract

Mid ventricular ballooning syndrome (MBS) was diagnosed in a 55-year-old woman who was admitted to emergency room due to acute chest pain. The trigger for the chest pain was reported as “bad dream” about her husband. MBS, a variant of Tako-tsubo Cardiomyopathy is more common in postmenopausal women and the triggers have been linked to stress involving the husband. Sudden catecholamine surge during nightmare augmented by estrogen deficiency in postmenopausal women may be the underlying mechanism. There are many unanswered questions related to the etiology of MBS. With supportive treatment, prognosis is excellent.

Highlights

  • Mid ventricular ballooning syndrome (MBS) is an atypical variant of Takotsubo cardiomyopathy (TCM) [1]

  • Mid ventricular ballooning syndrome (MBS) was diagnosed in a 55-year-old woman who was admitted to emergency room due to acute chest pain

  • MBS, a variant of Takotsubo Cardiomyopathy is more common in postmenopausal women and the triggers have been linked to stress involving the husband

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Summary

Introduction

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

Case Report
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