Apical ballooning syndrome (ABS) is an under recognised clinical entity characterised by acute reversible left ventricular systolic dysfunction that mimics acute myocardial infarction in the absence of obstructive coronary artery disease; typically occurring in the setting of profound stress.1 ABS disproportionately affects older women and recurrences are infrequent. We, hereby, describe a rare phenomenon of recurrent ABS in an elderly male patient, 10 years apart, presenting with the same left ventricular morphological appearance following non-cardiac surgeries. The case illustrates the importance of considering ABS in the differential diagnosis of perioperative acute myocardial infarction in older men undergoing major surgery.
- interventional cardiology
- heart failure
- medical management
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Contributors RA contributed to the design of the paper which included clinical data acquisition, analysis and interpretation of the data, drafted the manuscript and critically revised the manuscript for intellectual content and final version to be submitted. SM contributed to literature evaluation, background data analysis and interpretation, drafted portions of the manuscript and critically revised the manuscript for final version to be published. AP contributed to conception and design of the paper, contributed to analysis and interpretation of the data, critically revised the manuscript for intellectual content and final version to be published.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Patient consent Obtained.
Provenance and peer review Not commissioned; externally peer reviewed.
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