Vol 18, No 5 (2011)
Case Reports
Published online: 2011-09-21
Tako-tsubo cardiomyopathy precipitated by pheochromocytoma crisis
Cardiol J 2011;18(5):564-567.
Abstract
We report the case of a 69 year-old Chinese lady with pheochromocytoma who developed chest
pain and acute ST-segment elevation in the anterior leads on electrocardiography. She was
given intravenous phenoxybenzamine for alpha-blockade before undergoing urgent coronary
angiography. This revealed minor coronary artery disease. Left ventriculogram demonstrated
akinesis in the apex with hypercontraction of the basal segments. The Tako-tsubo cardiomyopathy
eventually resolved with surgical removal of the pheochromocytoma. This case highlights
the challenging management of suspected acute myocardial infarction in pheochromocytoma
crisis and also reinforces the notion that Tako-tsubo cardiomyopathy is likely precipitated by
catecholamine excess.
(Cardiol J 2011; 18, 5: 564–567)
(Cardiol J 2011; 18, 5: 564–567)
Keywords: pheochromocytomaTako-tsubo cardiomyopathyST-segment elevation