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Apical ballooning syndrome after attempted suicidal hanging

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Author(s): Chacko Jose | Brar Gagan | Elangovan Ashok | Moorthy Ramanathan

Journal: Indian Journal of Critical Care Medicine
ISSN 0972-5229

Volume: 15;
Issue: 1;
Start page: 43;
Date: 2011;
Original page

Keywords: Apical ballooing | left ventricular dysfunction | suicidal hanging

ABSTRACT
We report a case of "Apical Ballooning Syndrome" following attempted suicidal hanging. Our patient developed retrosternal chest pain and ischemic changes on electrocardiography (ECG), a day after the suicidal attempt. She underwent an angiogram considering the possibility of acute coronary syndrome. However, her coronary arteries were normal; the left ventricle showed the typical ballooning pattern characterized by hypokinesia of the distal septum and apex. On follow-up a week later, she remained asymptomatic; her ECG changes had reversed and the left ventricular contractility was normal on echocardiography.

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