Table 1

Findings in 13 white patients with “apical ballooning”

	Patient number
	1	2	3	4	5	6	7	8	9	10	11	12	13
CK, creatine kinase; CVA, cerebrovascular accident; F, female; IABP, intra-aortic balloon pump; IPG, intraventricular pressure gradient; LBBB, left bundle branch block; LVEDP, left ventricle end diastolic pressure; M, male; NA, not available; NYHA, New York Heart Association functional class at discharge; PCWP, pulmonary capillary wedge pressure; TTE, transthoracic echocardiography; VF, ventricular fibrillation.
Sex	F	F	F	F	F	F	F	F	F	F	M	F	F
Age (years)	81	78	65	71	48	66	52	48	45	66	57	60	69
Presenting symptom	Chest pain	ST ↑on monitor	Chest pain, vomitus	Chest pain, dyspnoea	Chest pain, shock	Chest pain, vomitus	CVA, fall	Dyspnoea, cough	VF	Chest pain	Respiratory distress	Chest pain, dyspnoea	Chest pain, dyspnoea, nausea
Duration before admission (h)	24	0	5	4	6	5	2	NA	0	36	NA	7	26
Symptoms before TTE (h)	24	6	72	24	16	11	48	68	50	24	48	18	68
Symptoms before angiography (h)	26	2	16	6.5	10	19	12	72	2.6	27	3	24	3
Precipitating factor	Unknown	Trauma (rib fractures)	Emotional stress (death of husband)	Unknown	Emotional stress	Unknown	CVA	Asthma crisis	Unknown	Exercise	Aspiration pneumonia	Emotional stress (minor car accident)	Exercise
Admission ECG	Normal	Normal	Normal	Negative T V1 – V6, ST ↑V1 – V4	Slow R progression anterior, ST ↑V1 – V6	LBBB (new)	Normal	Normal	Negative T II, III, aVF	Negative T I, II, aVL, aVF, V3 – V6	ST ↑I, II, aVF, V2 – V6	ST ↑I, aVL	Discrete ST ↑II, III, aVF, V2 – V6
ECG on day 1	15 min later, broad QRS after resuscutation	12 h later, negative T V1 – V6, ST ↑V2 – V6	Normal	Unchanged	4 h later, ST ↑more pronounced	8 h later, negative T V4 – V6, aVL	12 h later, ST increase 1 mm and negative T V2 – V6	48 h later, negative T V2 – V6, II, III, aVF	Negative T I, III, aVF, V3, V6	8 h later unchanged	ST ↑II, aVL, negative T I, aVL, V2 – V6	ST ↑I, aVL, negative T I, aVL, V2 – V6	NA
ECG on day 2	Negative T V2 – V6, I, II, III, aVF, ST ↑0.5 mm III, aVF	Unchanged	Negative T V3 – V6	Unchanged	Negative T V3 – V6, II, III, aVF, ST ↑V3 – V5	Unchanged	Deep negative T anterior, I, II, aVL, aVF	Unchanged	Negative T V2 – V6 more pronounced, negative T II, aVF	Negative T V3 – V6	ST ↑II, aVL, negative T I, aVL, V2 – V6	Negative T I, aVL, V2 – V6 more pronounced	NA
ECG follow up	NA	Negative T	Negative T	Normal	Normal	Normal	Negative T	Negative T	Negative T	Negative T aVL	Flattened T waves	Slightly negative T I, aVL, V3 – V6	Normal
Pathological Q waves	V1 – V3	Anterior	Absent	Absent	Absent	Absent	V1 – V3	V1 – V3	Absent	Absent	Absent	Absent	Absent
QTc (ms)	460	428	674	466	522	441	310	434	400	469	436	406	409
Admission CK MB (μ g/ ml)	NA	NA	16.6	10.9	16.2	NA	5	5.2	4.7	11.8	40.5	12.4	12.1
Maximum CK MB (μ g/ ml)	34.9	32.5	16.6	10.9	16.2	42	17.5	5.2	6.3	11.8	115.7	34.5	12.1
Admission troponin I (μ g/ ml)	10.1	13.4	17.8	17.3	19.4	NA	1.9	<0.12	3.4	5.7	14.0	2.2	3.6
Maximum troponin I (μ g/ ml)	97.6	16.9	17.8	17.3	19.4	NA	12.1	2.0	3.4	5.7	23.2	5.6	3.6
IPG (mm Hg)	0	0	0	0	0	90	0	0	0	79	0	0	0
LVEDP (mm Hg)	20	35	20	24	34	18	42	24	28	34	30	20	22
Cardiac index	1.7	NA	NA	NA	1.3	1.7	NA	NA	2.2	NA	2.2	NA	NA
PCWP (mm Hg)	9	NA	NA	NA	8	16	NA	NA	18	NA	23	NA	NA
IABP (days)	5	None	None	None	4	4	None	None	5	2	5	None	None
Endomyocardial biopsy	NA	NA	NA	NA	Normal	NA	NA	NA	NA	NA	NA	NA	NA
NYHA	NA	II	I	I	I	II	II	I	I	II	II	I	II
Time to recuperation (days)	NA	9	14	18	12	14	14	35	12	46	26	15	15