title: Reversible catecholamine-induced cardiomyopathy presenting as acute pulmonary edema in a patient with pheochromocytoma.
abstract: Cardiac injury caused by elevated levels of circulating catecholamines is a well-known phenomenon. We report a patient who, secondary to transient regional left ventricular dysfunction (despite normal coronary arteries), developed acute pulmonary edema. Echocardiography showed marked anteroapical hypokinesia and an apical thrombus. The diagnosis of pheochromocytoma was made by plasma catecholamine levels, abdominal ultrasound and finally at operation. The patient recovered completely long before surgical intervention was undertaken.
authors.affiliation: Heart Institute, Sheba Medical Center, Tel-Hashomer, Israel.
authors.forename: D
authors.initials: D
authors.lastname: Elian
authors.forename: D
authors.initials: D
authors.lastname: Harpaz
authors.forename: E
authors.initials: E
authors.lastname: Sucher
authors.forename: E
authors.initials: E
authors.lastname: Kaplinsky
authors.forename: M
authors.initials: M
authors.lastname: Motro
authors.forename: Z
authors.initials: Z
authors.lastname: Vered
mesh_terms: D000310:Adrenal Gland Neoplasms / Q000097:blood / Q000150:complications* / Q000000981:diagnostic imaging; D000328:Adult; D009202:Cardiomyopathies / Q000097:blood / Q000000981:diagnostic imaging / Q000209:etiology*; D003937:Diagnosis, Differential; D004452:Echocardiography; D004837:Epinephrine / Q000097:blood*; D006439:Hemodynamics / Q000502:physiology; D006801:Humans; D008297:Male; D009638:Norepinephrine / Q000097:blood*; D010673:Pheochromocytoma / Q000097:blood / Q000150:complications* / Q000000981:diagnostic imaging; D011654:Pulmonary Edema / Q000097:blood / Q000000981:diagnostic imaging / Q000209:etiology*; D016277:Ventricular Function, Left / Q000502:physiology
chemical_list: D009638:Norepinephrine; D004837:Epinephrine