| Initial presentation of pheochromocytoma with Takotsubo cardiomyopathy: a brief review of literature. | |
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MedLine Citation:
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PMID: 19797977 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Karthik R Gujja; Ahmed F Aslam; Vladimir Privman; Furqan Tejani; Balendu Vasavada |
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Publication Detail:
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Type: Case Reports; Journal Article; Review |
Journal Detail:
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Title: Journal of cardiovascular medicine (Hagerstown, Md.) Volume: 11 ISSN: 1558-2035 ISO Abbreviation: J Cardiovasc Med (Hagerstown) Publication Date: 2010 Jan |
Date Detail:
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Created Date: 2009-11-25 Completed Date: 2010-01-28 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101259752 Medline TA: J Cardiovasc Med (Hagerstown) Country: United States |
Other Details:
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Languages: eng Pagination: 49-52 Citation Subset: IM |
Affiliation:
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Division of Cardiology, Department of Internal Medicine, Long Island College Hospital, Brooklyn, New York, USA. karthikgujja@gmail.com |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adrenal Gland Neoplasms
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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:
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0/Biological Markers; 5001-33-2/Metanephrine |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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