TITLE:
Transient Mid-Ventricular Ballooning Due to Bad Dream in a Postmenopausal Woman
AUTHORS:
Puneeth Shridhar, Sina Omran, Raef Hajjali, David Lasorda, Ramzi Khalil, Young Jae Chun
KEYWORDS:
Takotsubo Cardiomyopathy, Mid Ventricular Ballooning Syndrome, Nightmare
JOURNAL NAME:
World Journal of Cardiovascular Diseases,
Vol.6 No.10,
October
10,
2016
ABSTRACT: Mid ventricular ballooning syndrome (MBS) was diagnosed in a 55-year-old woman who was admitted to emergency room due to acute chest pain. The trigger for the chest pain was reported as “bad dream” about her husband. MBS, a variant of Tako-tsubo Cardiomyopathy is more common in postmenopausal women and the triggers have been linked to stress involving the husband. Sudden catecholamine surge during nightmare augmented by estrogen deficiency in postmenopausal women may be the underlying mechanism. There are many unanswered questions related to the etiology of MBS. With supportive treatment, prognosis is excellent.