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KMID : 0388220140210020091
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Journal of the Korean Rheumatism Association
2014 Volume.21 No. 2 p.91 ~ p.95
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A Case of Persistent Apical Ballooning in a Patient with SLE
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Im Ho-Joon
Lee Ji-Hyun
Yeo Hyun-Jung
Lee Hong-Jik
Byun Gi-Sup
Kim Min-Jeong
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Abstract
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Apical ballooning syndrome (ABS), also referred to as stress cardiomyopathy, is characterized by acute left ven-tricular dysfunction following a stressful situation. Diagnosis of ABS is made in the following scenarios: tran-sient hypokinesia or dyskinesia of the left ventricular seg-ment, absence of obstructive coronary disease, new electro-cardiogram abnormalities, absence of recent significant head trauma, pheochromocytoma, myocarditis, and hyper-trophic cardiomyopathy. Prognosis is usually favorable since the wall motion abnormality returns to normal with-in days, and certainly within the first month. We encoun-tered a case of SLE with apical ballooning on echocardiog-raphy in a 44-year-old woman. She was suffering from se-vere left ventricular dysfunction that has persisted on 5 year follow-up echocardiography. We report this case along with a review of the relevant literature.
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KEYWORD
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Systemic lupus erythematosus, Persistent ap-ical ballooning
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