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Korean Circ J. 2008 Dec;38(12):677-680. English. Case Report.
Park HE , Kim JH , Yoon YE , Park JB , Lee W , Cho Y , Heo EY , Kim HK , Kim YJ , Sohn DW .
Division of Cardiology, Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea.

Stress-induced cardiomyopathy is characterized by reversible systolic dysfunction of the ventricles, usually involving the apical segments. It occurs more commonly in women and is frequently precipitated by emotional or physical stressors. Ever since the first report of typical stress-induced cardiomyopathy-usually known as Takotsubo cardiomyopathy or transient left ventricular apical ballooning syndrome-was issued, variant forms of stress-induced cardiomyopathy have been reported. We describe a patient who presented with typical ischemic chest pain, but who was found to have an atypical form of stress-induced cardiomyopathy: midventricular ballooning syndrome involving both the left and right ventricles. Transthoracic echocardiography and computed tomography were used in this patient.

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