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Master thesis

Le syndrome de ballonisation apicale du ventricule gauche: à propos d'une série de 18 patients au centre hospitalier et universitaire de Nancy

Abstract : The left ventricular apical ballooning syndrome, or Takotsubo syndrome was described for the first time in 1990 in Japan. During several years, it was subject to a growing number of worldwide publications.A stressfùl factor is most of the tiine at the origin of the pain.The syndrome consists of major kinetic troubles of the left ventricle associated to an akinesis of the left ventricle apical region as well as a basal hyperkinesis compensating. By perfonning a coronarography, one can filter out of presence of one or many significant coronarians lesions.A fundamental element in the left ventricular apical ballooning cardiopathy is the fullrecovery without mid to long term relapse. The syndrome mainly affects women experiencing inenopause having a ribcage pain happening mostly after a stress.Different pathophysiological hypothesis are brought up. The most relevant ones today aim towards an adrenergic origin.We are exposing eighteen patients of the Nancy CHRU who were hospitalised between 2002 and 2008 and who show the diagnostic of the left ventricle ballooning. Those were wolnen with an average age of 70 years. For fifteen of them the stress was at the origin of the chestpain.We have demonstrated the normalization of each patient of their systolic ventricular fùnction distancing from the event.The recognition of the syndrome and its quick diagnosis could reinforce thepathophysiological hypothesis and have it being taken care of more uniformity.
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Master thesis
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https://hal.univ-lorraine.fr/hal-01732271
Contributor : Colette Orange <>
Submitted on : Wednesday, March 14, 2018 - 2:52:37 PM
Last modification on : Monday, October 19, 2020 - 11:10:24 AM
Long-term archiving on: : Tuesday, September 4, 2018 - 8:57:58 AM

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  • HAL Id : hal-01732271, version 1

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Stéphane de Jésus. Le syndrome de ballonisation apicale du ventricule gauche: à propos d'une série de 18 patients au centre hospitalier et universitaire de Nancy. Sciences du Vivant [q-bio]. 2008. ⟨hal-01732271⟩

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