Clinical Research in Cardiology

, Volume 95, Issue 5, pp 307–311 | Cite as

Recurrent tako–tsubo–like left ventricular dysfunction (apical ballooning) in a patient with pheochromocytoma—a case report

  • Christoph Spes
  • Alexander Knape
  • Harald Mudra
CASE REPORT

Summary

Primarily described in Japan, tako–tsubo–like left ventricular dysfunction is a phenomenon characterized by transient apical ballooning in the absence of significant coronary artery disease. The clinical presentation includes symptoms like chest pain, dyspnea, syncope, electrocardiographic changes and elevated myocardial markers, all compatible with the diagnosis of an acute coronary syndrome. The underlying mechanism is supposed to be a catecholamine excess caused by various triggers. We describe a patient with a recurrent tako–tsubo phenomenon, who at work–up proved to have a pheochromocytoma as the most likely underlying disease.

Key words

Tako–tsubo–like left ventricular dysfunction pheochromocytoma 

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Copyright information

© Steinkopff-Verlag 2006

Authors and Affiliations

  • Christoph Spes
    • 1
  • Alexander Knape
    • 1
  • Harald Mudra
    • 1
  1. 1.2. Medizinische AbteilungKlinikum Neuperlach, Städtisches Klinikum München GmbHMünchenGermany

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