Journal of Cardiovascular Imaging

Korean Society of Echocardiography (한국심초음파학회)
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PHEOCHROMOCYTOMA AS A RARE HIDDEN CAUSE OF INVERTED STRESS CARDIOMYOPATHY

  • Cho, Soo Kyung (Department of Internal Medicine, Christian Hospital) ;
  • Kim, Kye Hun (Department of Cardiology, Chonnam National University Hospital) ;
  • Cho, Jae Yeong (Department of Cardiology, Chonnam National University Hospital) ;
  • Yoon, Hyun Ju (Department of Cardiology, Chonnam National University Hospital) ;
  • Park, Hyung Wook (Department of Cardiology, Chonnam National University Hospital) ;
  • Hong, Young Joon (Department of Cardiology, Chonnam National University Hospital) ;
  • Kim, Ju Han (Department of Cardiology, Chonnam National University Hospital) ;
  • Ahn, Youngkeun (Department of Cardiology, Chonnam National University Hospital) ;
  • Jeong, Myung Ho (Department of Cardiology, Chonnam National University Hospital) ;
  • Cho, Jeong Gwan (Department of Cardiology, Chonnam National University Hospital) ;
  • Park, Jong Chun (Department of Cardiology, Chonnam National University Hospital)
  • Received : 2013.08.20
  • Accepted : 2014.05.15
  • Published : 2014.06.27
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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.

Keywords

References

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