| Catecholamine cardiomyopathy associated with paraganglioma rescued by percutaneous cardiopulmonary support: inverted Takotsubo contractile pattern. | |
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MedLine Citation:
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PMID: 18037760 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A case of catecholamine cardiomyopathy associated with paraganglioma, which was rescued by percutaneous cardiopulmonary support system (PCPS), is presented. Unlike typical apical ballooning, transthoracic echocardiography and left ventriculography revealed severe left ventricular (LV) dysfunction and an abnormal contractile pattern, consisting of akinesis of the basal and midventricular segments and hyperkinesis of the apical segments. Because of the intractable cardiogenic shock, despite conventional treatment, PCPS was performed. The underlying disease was paraganglioma. Catecholamine excess may induce not only transient LV apical ballooning but also atypical LV ballooning without involvement of the LV apex. Early use of PCPS is important for the patient with a catecholamine crisis who is not stabilized by intra-aortic balloon pump as well as infusion of fluid and inotropic agents. |
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Authors:
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Hyo Song Kim; Woo Ik Chang; Young Chan Kim; Seong Yoon Yi; Jae Sook Kil; Joo-Yong Hahn; Mira Kang; Myung Shik Lee; Sang Hoon Lee |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Circulation journal : official journal of the Japanese Circulation Society Volume: 71 ISSN: 1346-9843 ISO Abbreviation: Circ. J. Publication Date: 2007 Dec |
Date Detail:
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Created Date: 2007-11-26 Completed Date: 2008-02-12 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101137683 Medline TA: Circ J Country: Japan |
Other Details:
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Languages: eng Pagination: 1993-5 Citation Subset: IM |
Affiliation:
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Department of Internal Medicine, Cardiology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adrenal Gland Neoplasms
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complications,
diagnosis,
metabolism Cardiopulmonary Bypass* Catecholamines / metabolism* Diagnosis, Differential Humans Intra-Aortic Balloon Pumping* Male Middle Aged Paraganglioma, Extra-Adrenal / complications*, diagnosis, metabolism Pheochromocytoma / complications, diagnosis, metabolism Takotsubo Cardiomyopathy / etiology*, therapy* |
| Chemical | |
Reg. No./Substance:
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0/Catecholamines |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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