Reversible left ventricular dysfunction resembling Takotsubo syndrome after self-injection of adrenaline.
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.
Volz
Hans Christian
HC
Department of Internal Medicine III, University of Heidelberg, INF 410, Heidelberg 69120, Germany. christian.volz@med.uni-heidelberg.de
Erbel
Christian
C
Berentelg
Johannes
J
Katus
Hugo A
HA
Frey
Norbert
N
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
D000319:Adrenergic beta-Antagonists; D000806:Angiotensin-Converting Enzyme Inhibitors; D014662:Vasoconstrictor Agents; D004837:Epinephrine