title: Reversible left ventricular dysfunction resembling Takotsubo syndrome after self-injection of adrenaline.
abstract: Transient left ventricular (LV) ballooning syndrome, or Takotsubo syndrome, is characterized by a reversible LV dysfunction. The pathophysiology has not been fully elucidated, but an excess of catecholamines seems to have an essential role. The case of a 27-year-old man who developed transient LV dysfunction resembling Takotsubo syndrome after self-injection of adrenaline is described. The present case may provide additional evidence to the hypothesis of excess sympathetic activation in LV ballooning syndrome.
authors: Department of Internal Medicine III, University of Heidelberg, INF 410, Heidelberg 69120, Germany. christian.volz@med.uni-heidelberg.de
authors: Hans Christian
authors: HC
authors: Volz
authors: Christian
authors: C
authors: Erbel
authors: Johannes
authors: J
authors: Berentelg
authors: Hugo A
authors: HA
authors: Katus
authors: Norbert
authors: N
authors: Frey
mesh_terms: D000319:Adrenergic beta-Antagonists / Q000627:therapeutic use; D000328:Adult; D000806:Angiotensin-Converting Enzyme Inhibitors / Q000627:therapeutic use; D003937:Diagnosis, Differential; D004837:Epinephrine / Q000008:administration & dosage / Q000009:adverse effects*; D006801:Humans; D007423:Intra-Aortic Balloon Pumping; D008297:Male; D012651:Self Medication; D054549:Takotsubo Cardiomyopathy / Q000139:chemically induced* / Q000175:diagnosis / Q000628:therapy; D014662:Vasoconstrictor Agents / Q000008:administration & dosage / Q000009:adverse effects*; D018487:Ventricular Dysfunction, Left / Q000139:chemically induced* / Q000175:diagnosis / Q000628:therapy
chemical_list: D000319:Adrenergic beta-Antagonists; D000806:Angiotensin-Converting Enzyme Inhibitors; D014662:Vasoconstrictor Agents; D004837:Epinephrine