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The ace of spades: reverse takotsubo cardiomyopathy in the context of angiographic embolization of recurrent metastatic serotonin-positive neuroendocrine tumour of the pancreas.
MedLine Citation:
PMID:  23476666     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
A 62-year-old woman undergoing embolization of recurrent neuroendocrine tumor, positive for serotonin, developed chest pain and bradycardia with lateral ST-segment depression. Cardiac biomarkers were elevated, and echocardiography revealed akinesis of all basal segments with a normally contracting apex. The absence of flow-limiting coronary disease on angiography confirmed the presence of reverse Takotsubo cardiomyopathy. After optimal medical therapy for six weeks, left ventricular function returned to normal. Takotsubo cardiomyopathy has been described across a wide variety of hyperadrenergic states; the description of the reverse-type Takotsubo cardiomyopathy in the setting of embolization of recurrent neuroendocrine with serotonergic positivity tumour is novel.
Authors:
Ian A Mazzetti; Michael J Marcaccio; Odette Boutross-Tadross; Omid Salehian; Catherine Demers
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Publication Detail:
Type:  Journal Article     Date:  2013-02-07
Journal Detail:
Title:  Case reports in medicine     Volume:  2013     ISSN:  1687-9627     ISO Abbreviation:  Case Rep Med     Publication Date:  2013  
Date Detail:
Created Date:  2013-03-11     Completed Date:  2013-03-12     Revised Date:  2013-04-18    
Medline Journal Info:
Nlm Unique ID:  101512910     Medline TA:  Case Rep Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  793193     Citation Subset:  -    
Affiliation:
McMaster University, 1280 Main Street West, Hamilton, ON, Canada L8S 4K1.
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