Inverted Takotsubo contractile pattern caused by pheochromocytoma with tall upright T-waves, but not typical deep T-wave inversion

被引:14
|
作者
Kimura, Shinpei [1 ]
Mitsuma, Wataru [1 ]
Ito, Masahiro [1 ]
Suzuki, Hiromi [2 ]
Hosaka, Yukio [1 ]
Hirayama, Satoshi [2 ]
Hanyu, Osamu [2 ]
Hirono, Satoru [1 ]
Kodama, Makoto [1 ]
Aizawa, Yoshifusa [1 ,2 ]
机构
[1] Niigata Univ, Div Cardiol, Grad Sch Med & Dent Sci, Niigata 9518510, Japan
[2] Niigata Univ, Div Endocrinol, Grad Sch Med & Dent Sci, Niigata 9518510, Japan
关键词
Inverted Takotsubo cardiomyopathy; Electrocardiogram; Pheochromocytoma; Tall upright T-wave; BALLOONING SYNDROME;
D O I
10.1016/j.ijcard.2008.06.073
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We describe a 36-year-old woman with inverted Takotsubo cardiomyopathy caused by pheochromocytoma crisis. In the acute phase, her electrocardiogram showed ST segment depression in lead II, III, aVF and V2 through V5. On day 14, tall upright T-waves were observed in leads V2 through V5 despite heart failure and basal to midventricular ballooning improved on day 4, and all electrocardiographic abnormalities finally normalized after surgical removal of the pheochromocytomas. This is the first report of electrocardiographic course of inverted Takotsubo cardiomyopathy, and these findings seem as if the inverted electrocardiographic findings are contrary to those of apical ballooning. (C) 2008 Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码:E15 / E17
页数:3
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