Cardiogenic shock with basal transient left ventricular ballooning (Takotsubo-like cardiomyopathy) as first presentation of pheochromocytoma.
Pheochromocytoma is a rare tumor that produces a distant effect by secretion of catecholamines. This tumor usually presents with hypertension and palpitations but it may also cause cardiogenic shock because of catecholamine-induced myocardial dysfunction. We describe a rare case of Takotsubo-like cardiomyopathy as first manifestation of pheochromocytoma with an unusual onset characterized by severe hypotension and transient basal left ventricular ballooning ('inverted' Takotsubo-like cardiomyopathy).
Di Palma
Gisella
G
Divisione di Medicina Interna, Seconda Università degli Studi di Napoli, Napoli, Italy. giselladipalma@hotmail.it
Daniele
Gian P
GP
Antonini-Canterin
Francesco
F
Piazza
Rita
R
Nicolosi
Gian L
GL
D000310:Adrenal Gland Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000601:surgery / Q000652:urine; D000315:Adrenalectomy; D000328:Adult; D015415:Biomarkers / Q000652:urine; D002316:Cardiotonic Agents / Q000627:therapeutic use; D002395:Catecholamines / Q000652:urine; D004452:Echocardiography; D004562:Electrocardiography; D005260:Female; D006801:Humans; D007022:Hypotension / Q000209:etiology; D010673:Pheochromocytoma / Q000150:complications / Q000175:diagnosis* / Q000601:surgery / Q000652:urine; D012770:Shock, Cardiogenic / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology* / Q000652:urine; D054549:Takotsubo Cardiomyopathy / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology* / Q000652:urine; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D015854:Up-Regulation
D015415:Biomarkers; D002316:Cardiotonic Agents; D002395:Catecholamines