Acute severe midventricular obstruction in left ventricular apical ballooning syndrome

A 72-year-old woman was admitted to our hospital for chest pain and dyspnea. Admission electrocardiogram revealed T-wave inversion in precordial leads. Coronary angiography showed no significant coronary artery disease. Left ventriculography showed apical akinesis and basal hyperkinesis with an intraventricular pressure gradient of 60 mmHg. After 4 days left ventricular wall motion had completely normalized, with no more pressure gradient.