- Author:
Soo Kyung CHO
1
;
Kye Hun KIM
;
Jae Yeong CHO
;
Hyun Ju YOON
;
Hyung Wook PARK
;
Young Joon HONG
;
Ju Han KIM
;
Youngkeun AHN
;
Myung Ho JEONG
;
Jeong Gwan CHO
;
Jong Chun PARK
Author Information
- Publication Type:Case Report
- Keywords: Cardiomyopathy; Stress; Pheochromocytoma
- MeSH: Acute Coronary Syndrome; Cardiomyopathies; Follow-Up Studies; Humans; Hyperkinesis; Outpatients; Pheochromocytoma*; Takotsubo Cardiomyopathy*; Ventricular Dysfunction, Left
- From:Journal of Cardiovascular Ultrasound 2014;22(2):80-83
- CountryRepublic of Korea
- Language:English
- Abstract: Stress cardiomyopathy (SCMP) is characterized by a transient left ventricular dysfunction associated with apical ballooning and compensatory hyperkinesias of the basal segments after emotional or physical stress, but inverted or mid-ventricular variants of SCMP have also been described. Although catecholamine excess has been suggested as a possible pathophysiologic mechanism of SCMP, the etiology of SCMP is still unknown. Here, we report a case of inverted type of SCMP with clinical presentation mimicking acute coronary syndromes. The cause or precipitating stressor was unclear initially, but pheochromocytoma has been demonstrated as a cause of SCMP during clinical follow-up at out-patient clinic in the present case. Catecholamine-producing tumors should be included in the evaluation or management of SCMP, even though initial clinical manifestations are not suggestive for pheochromocytoma.