Key result
Attempted suicidal hanging was followed by the development of Apical Ballooning Syndrome with normal coronary arteries, which completely resolved within one week.
Case Report (n=1)
Attempted suicidal hanging is a potential trigger for reversible apical ballooning syndrome (Takotsubo cardiomyopathy).
May trigger Takotsubo cardiomyopathy in hanging survivors; hypothesis-generating and requires prospective confirmation before clinical consideration.
We report a case of "Apical Ballooning Syndrome" following attempted suicidal hanging. Our patient developed retrosternal chest pain and ischemic changes on electrocardiography (ECG), a day after the suicidal attempt. She underwent an angiogram considering the possibility of acute coronary syndrome. However, her coronary arteries were normal; the left ventricle showed the typical ballooning pattern characterized by hypokinesia of the distal septum and apex. On follow-up a week later, she remained asymptomatic; her ECG changes had reversed and the left ventricular contractility was normal on echocardiography.
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Brar et al. (2011) conducted a case report in Apical Ballooning Syndrome (n=1). Attempted suicidal hanging was evaluated on Development and resolution of Apical Ballooning Syndrome. Attempted suicidal hanging was followed by the development of Apical Ballooning Syndrome with normal coronary arteries, which completely resolved within one week.
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