open access

Vol 18, No 5 (2011)
Case Reports
Published online: 2011-09-21
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Tako-tsubo cardiomyopathy precipitated by pheochromocytoma crisis

Pow-Li Chia, David Foo
Cardiol J 2011;18(5):564-567.

open access

Vol 18, No 5 (2011)
Case Reports
Published online: 2011-09-21

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)

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)
Get Citation

Keywords

pheochromocytoma; Tako-tsubo cardiomyopathy; ST-segment elevation

About this article
Title

Tako-tsubo cardiomyopathy precipitated by pheochromocytoma crisis

Journal

Cardiology Journal

Issue

Vol 18, No 5 (2011)

Pages

564-567

Published online

2011-09-21

Bibliographic record

Cardiol J 2011;18(5):564-567.

Keywords

pheochromocytoma
Tako-tsubo cardiomyopathy
ST-segment elevation

Authors

Pow-Li Chia
David Foo

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