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
相关论文
共 38 条
  • [31] Myocardial edema underlies dynamic T-wave inversion (Wellens' ECG pattern) in patients with reversible left ventricular dysfunction
    Migliore, Federico
    Zorzi, Alessandro
    Marra, Martina Perazzolo
    Basso, Cristina
    Corbetti, Francesco
    De lazzari, Manuel
    Tarantini, Giuseppe
    Buja, Paolo
    Lacognata, Carmelo
    Thiene, Gaetano
    Corrado, Domenico
    Iliceto, Sabino
    HEART RHYTHM, 2011, 8 (10) : 1629 - 1634
  • [32] Unraveling the riddle of transient T-wave inversion (Wellens' ECG pattern): T2-weighted magnetic resonance imaging identifies myocardial edema
    Tada, Hiroshi
    HEART RHYTHM, 2011, 8 (10) : 1635 - 1636
  • [33] DIAGNOSTIC-SIGNIFICANCE OF DEEP T-WAVE INVERSION INDUCED BY EXERCISE TESTING IN PATIENTS WITH SUSPECTED CORONARY-ARTERY DISEASE
    CHIKAMORI, T
    DOI, YL
    FURUNO, T
    YONEZAWA, Y
    OZAWA, T
    AMERICAN JOURNAL OF CARDIOLOGY, 1992, 70 (03): : 403 - 406
  • [34] Prevalence, pattern and associated cardiovascular risk of t-wave inversion in hypertensive patients: a 5-year follow-up study
    Kasiakogias, A.
    Konstantinidis, D.
    Dimitriadis, K.
    Tatakis, F.
    Zammanis, I
    Iliakis, P.
    Kouremeti, M.
    Papakonstantinou, P.
    Thomopoulos, C.
    Tsioufis, P.
    Sideris, S.
    Tousoulis, D.
    Tsioufis, C.
    EUROPEAN HEART JOURNAL, 2020, 41 : 2744 - 2744
  • [35] Chest Discomfort with Deep Symmetrical T-Wave Inversion after Episode of Ventricular Tachycardia; Acute Coronary Event or Not? An Emergency Case Report
    Nugroho, S. S.
    Nugroho, M. A.
    Ardhianto, P.
    EUROPEAN HEART JOURNAL SUPPLEMENTS, 2019, 21 (0F) : F173 - F173
  • [36] DEEP T-WAVE INVERSIONS AFTER VALVE-REPLACEMENT FOR CHRONIC AORTIC REGURGITATION - POSSIBLE CONVERSION FROM A DIASTOLIC TO SYSTOLIC OVERLOAD PATTERN
    GOLDBERGER, AL
    JOURNAL OF ELECTROCARDIOLOGY, 1980, 13 (04) : 379 - 386
  • [37] Apicobasal gradient of left ventricular myocardial edema underlies transient T-wave inversion and QT interval prolongation (Welliens' ECG pattern) in Tako-Tsubo cardiomyopathy
    Marra, Martina Perazzolo
    Zorzi, Alessandro
    Corbetti, Francesco
    De lazzari, Manuel
    Migliore, Federico
    Tona, Francesco
    Tarantini, Giuseppe
    Iliceto, Sabino
    Corrado, Domenico
    HEART RHYTHM, 2013, 10 (01) : 70 - 77
  • [38] Apico-Basal Gradient of Left Ventricular Myocardial Edema Underlies Transient T-Wave Inversion and QT Interval Prolongation (Wellens' ECG Pattern) In Tako-tsubo Cardiomyopathy
    Marra, Martina Perazzolo
    Zorzi, Alessandro
    Corbetti, Francesco
    De Lazzari, Manuel
    Migliore, Federico
    Tona, Francesco
    Tarantini, Giuseppe
    Iliceto, Sabino
    Corrado, Domenico
    CIRCULATION, 2012, 126 (21)