Document Detail


Initial presentation of pheochromocytoma with Takotsubo cardiomyopathy: a brief review of literature.
MedLine Citation:
PMID:  19797977     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Takotsubo cardiomyopathy, or transient left ventricular apical ballooning or broken heart syndrome, is characterized by excessive sympathetic stimulation induced acute coronary vasospasm. A 46-year-old female presented with polyuria and polydypsia and was diagnosed with new-onset diabetes mellitus, treated with insulin and intravenous fluids. During the hospital stay, she complained of an episode of left-sided chest pain and had mildly elevated cardiac enzymes. EKG showed new ST-segment elevation in V2, V3 leads without reciprocal changes. Her coronary angiogram showed no significant coronary artery stenosis, but severe systolic dysfunction and akinesis of the mid-anterior, anteroapical, mid-inferior and inferoapical segments. Further workup was negative except for plasma metanephrine being elevated. MRI of the abdomen showed a right adrenal mass consistent with pheochromocytoma. Surgical resection of the adrenal mass showed evidence of pheochromocytoma and the patient's symptoms were resolved.
Authors:
Karthik R Gujja; Ahmed F Aslam; Vladimir Privman; Furqan Tejani; Balendu Vasavada
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Journal of cardiovascular medicine (Hagerstown, Md.)     Volume:  11     ISSN:  1558-2035     ISO Abbreviation:  J Cardiovasc Med (Hagerstown)     Publication Date:  2010 Jan 
Date Detail:
Created Date:  2009-11-25     Completed Date:  2010-01-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101259752     Medline TA:  J Cardiovasc Med (Hagerstown)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  49-52     Citation Subset:  IM    
Affiliation:
Division of Cardiology, Department of Internal Medicine, Long Island College Hospital, Brooklyn, New York, USA. karthikgujja@gmail.com
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MeSH Terms
Descriptor/Qualifier:
Adrenal Gland Neoplasms / complications*,  diagnosis,  metabolism,  surgery
Adrenalectomy
Biological Markers / blood
Coronary Angiography
Electrocardiography
Female
Humans
Magnetic Resonance Imaging
Metanephrine / blood
Middle Aged
Pheochromocytoma / complications*,  diagnosis,  metabolism,  surgery
Takotsubo Cardiomyopathy / diagnosis,  etiology*,  metabolism
Treatment Outcome
Up-Regulation
Chemical
Reg. No./Substance:
0/Biological Markers; 5001-33-2/Metanephrine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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