Journal of Cardiovascular Imaging

  • 제22권2호
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  • Pages.80-83
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  • 2014
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  • 2586-7210(pISSN)
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  • 2586-7296(eISSN)
한국심초음파학회 (Korean Society of Echocardiography)
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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)
  • 투고 : 2013.08.20
  • 심사 : 2014.05.15
  • 발행 : 2014.06.27
⟨ 이전 논문 다음 논문 ⟩

초록

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.

키워드

참고문헌

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피인용 문헌

  1. Ventricular Rhythm and Hypotension in a Patient with Pheochromocytoma-induced Myocardial Damage and Reverse Takotsubo Cardiomyopathy vol.54, pp.18, 2014, https://doi.org/10.2169/internalmedicine.54.4732
  2. Current Diagnostic and Treatment Strategies for Specific Dilated Cardiomyopathies: A Scientific Statement From the American Heart Association vol.134, pp.23, 2014, https://doi.org/10.1161/cir.0000000000000455