title: Inverted Takotsubo contractile pattern caused by pheochromocytoma with tall upright T-waves, but not typical deep T-wave inversion.
abstract: We describe a 36-year-old woman with inverted Takotsubo cardiomyopathy caused by pheochromocytoma crisis. In the acute phase, her electrocardiogram showed ST segment depression in lead II, III, aVF and V2 through V5. On day 14, tall upright T-waves were observed in leads V2 through V5 despite heart failure and basal to midventricular ballooning improved on day 4, and all electrocardiographic abnormalities finally normalized after surgical removal of the pheochromocytomas. This is the first report of electrocardiographic course of inverted Takotsubo cardiomyopathy, and these findings seem as if the inverted electrocardiographic findings are contrary to those of apical ballooning.
authors: Shinpei
authors: S
authors: Kimura
authors: Wataru
authors: W
authors: Mitsuma
authors: Masahiro
authors: M
authors: Ito
authors: Hiromi
authors: H
authors: Suzuki
authors: Yukio
authors: Y
authors: Hosaka
authors: Satoshi
authors: S
authors: Hirayama
authors: Osamu
authors: O
authors: Hanyu
authors: Satoru
authors: S
authors: Hirono
authors: Makoto
authors: M
authors: Kodama
authors: Yoshifusa
authors: Y
authors: Aizawa
mesh_terms: D000208:Acute Disease; D000310:Adrenal Gland Neoplasms / Q000150:complications* / Q000000981:diagnostic imaging; D000328:Adult; D004562:Electrocardiography; D005260:Female; D006801:Humans; D010673:Pheochromocytoma / Q000150:complications* / Q000000981:diagnostic imaging; D054549:Takotsubo Cardiomyopathy / Q000175:diagnosis* / Q000209:etiology* / Q000503:physiopathology; D014057:Tomography, X-Ray Computed