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Apical thrombus associated with left ventricular apical ballooning
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  • Published on:
    Author Reply:

    Dear Editor

    We sincerely appreciate the comments by Tetsuya Sato et al. concerning our report of transient apical ballooning associated with apical thrombus.[1]

    In a prior study,[2] they elegantly demonstrated, using 123I-Metaiodobenzylguanidine (MIBG), that some of these patients have extensive myocardial stunning as the result of sympathetic denervation. Reduction of MIBG accumulation, suggestive...

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    Conflict of Interest:
    None declared.
  • Published on:
    Re: Apical thrombus associated with left ventricular apical ballooning

    Dear Editor

    I read the article by Barrera-Ramirez et al. with interest and have some comments.

    I think this case is an extensive myocardial stunning induced by emotional stress. Some stunning occured with emotional stress, cerebrovascular attack, and surgery. Symathetic denervation is involved in such cases. Prolonged T wave inversion would indicate the change in repolarization related to the sympathetic...

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    Conflict of Interest:
    None declared.