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Volume 350:1152-1155 March 11, 2004 Number 11
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Conditions Associated with ST-Segment Elevation

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by Wang, K.
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To the Editor: Wang et al. (Nov. 27 issue)1 review various conditions with ST-segment elevation, but they fail to mention a phenomenon often referred to as tako-tsubo–like left ventricular dysfunction,2 or transient left ventricular apical ballooning.3,4 This disorder is characterized by transient left ventricular dysfunction and a range of electrocardiographic changes that mimic acute myocardial infarction, with no evidence of obstruction in epicardial coronary arteries. Although several mechanisms have been proposed, the pathophysiology of this transient disorder is still not clear. However, given that this left ventricular dysfunction has some similarities to that seen in patients with acute brain injury,5 . . . [Full Text of this Article]



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