Skip to main content

Advertisement

Log in

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

  • CASE REPORT
  • Published:
Clinical Research in Cardiology Aims and scope Submit manuscript

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Subscribe and save

Springer+ Basic
EUR 32.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or Ebook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Abe Y, Kondo M, Matsuoka R, Araki M, Dohyama K, Tanio H (2003) Assessment of clinical features in transient left ventricular apical ballooning. J Am Coll Cardiol 41:737–742

    Article  PubMed  Google Scholar 

  2. De Backer TL, De Buyzere ML, Taeymans Y, Kunnen P, Rubens R, Clement DL (2000) Cardiac involvement in pheochromocytoma. J Hum Hypertens 14:469–471

    Article  CAS  PubMed  Google Scholar 

  3. Bybee KA, Kara T, Prasad A, Lerman A, Barsness GW, Wright, S, Rihaö CS (2004) Systematic review: transient left ventricular apical ballooning: a syndrome that mimics ST–segment elevation myocardial infarction. Ann Intern Med 141:858–865

    PubMed  Google Scholar 

  4. Katechis D, Makaryus AN, Spatz A, Freeman J, Diamond JA (2005) Case report and brief review: acute myocardial infarction in a patient with pheochromocytoma and neurofibromatosis. J Invasive Cardiol 17:331–333

    PubMed  Google Scholar 

  5. Liao WB, Liu CF, Chiang CW, Kung CT, Lee CW (2000) Cardiovascular manifestations of pheochromocytoma. Am J Emerg Med 18:622–625

    Article  CAS  PubMed  Google Scholar 

  6. Schimke KE, Clerici T, Galeazzi RL, Pavlicek V (2004) Seltene Differentialdiagnose von EKG–Veränderungen und erhöhtem Troponin. Schweiz Med Forum 4:285–287

    Google Scholar 

  7. Shaw TR, Rafferty P, Tait GW (1987) Transient shock and myocardial impairment caused by phaeochromocytoma crisis. Br Heart J 57:194–198

    Article  CAS  PubMed  Google Scholar 

  8. Tsuchihashi K, Ueshima K, Uchida T, Oh–mura N, Kimura K, Owa M, Yoshiyama M, Miyazaki S, Haze K, Ogawa H, Honda T, Hase M, Kai R, Morii I (2001) Transient left ventricular apical ballooning without coronary stenosis: a novel heart syndrome mimicking acute myocardial infarction. J Am Coll Cardiol 38:11–18

    Article  CAS  PubMed  Google Scholar 

  9. Wittstein IS, Thiemann DR, Lima JAC, Baughman KL, Ahulman SP, Gerstenblith G, Wu KC, Rade JJ, Bivalaqua TJ, Champion HC (2005) Neurohumoral features of myocardial stunning due to sudden emotional stress. N Engl J Med 352:539–548

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Spes, C., Knape, A. & Mudra, H. Recurrent tako–tsubo–like left ventricular dysfunction (apical ballooning) in a patient with pheochromocytoma—a case report. Clin Res Cardiol 95, 307–311 (2006). https://doi.org/10.1007/s00392-006-0374-y

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00392-006-0374-y

Key words

Navigation