RT Journal Article T1 Apical ballooning syndrome and previous coronary artery disease: a novel relationship A1 Núñez Gil, Iván Javier A1 García Rubira, Juan Carlos A1 Fernández Ortiz, Antonio Ignacio A1 Vivas Balcones, Luis David A1 Gonzalez, Juan José A1 Luaces Méndez, María A1 Macaya Miguel, Carlos AB Apical transient left ventricular diskynesia is a recently described entity able to imitate acute coronary syndrome. The presence of previous coronary artery disease (CAD) is an exclusion criterion for this diagnosis in several studies. We report the case of a sixty-three year-old-caucasian man with previously known CAD, left anterior descending artery (LAD) stented-disease, presenting in the emergency room with angina and ST-segment elevation. A coronariography was urgently performed. No new coronary lesions could be demonstrated. LAD-placed stents were patent and showed no change in their angiographic appearance. Left ventriculogram demonstrated apical diskynesia (Takotsubo-like). Complete and rapid resolution of left ventricular dysfunction was echocardiographycally displayed seven days later. Months after, coronary lesions increased associated with new acute coronary syndromes and new revascularization procedures were required. The present case supports the idea that CAD and apical transient diskynesia could coexist in the same patient, arising further questions about the pathophysiology, prognosis and management of the latter. PB Elsevier SN 0167-5273 YR 2008 FD 2008 LK https://hdl.handle.net/20.500.14352/101189 UL https://hdl.handle.net/20.500.14352/101189 LA eng NO Núñez-Gil IJ, García-Rubira JC, Fernández-Ortiz A, Vivas D, Gonzalez JJ, Luaces M, Macaya C. Apical ballooning syndrome and previous coronary artery disease: a novel relationship. Int J Cardiol. 2008 Nov 12;130(2):e60-2. doi: 10.1016/j.ijcard.2007.11.056. Epub 2008 Jan 16. PMID: 18201780. DS Docta Complutense RD 11 abr 2025