Inverted Takotsubo contractile pattern caused by pheochromocytoma with tall upright T-waves, but not typical deep T-wave inversion.
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.
Kimura
Shinpei
S
Mitsuma
Wataru
W
Ito
Masahiro
M
Suzuki
Hiromi
H
Hosaka
Yukio
Y
Hirayama
Satoshi
S
Hanyu
Osamu
O
Hirono
Satoru
S
Kodama
Makoto
M
Aizawa
Yoshifusa
Y
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