Abstract
Pheochromocytoma is a rare tumor that produces a distant effect by secretion of catecholamines. This tumor usually presents with hypertension and palpitations but it may also cause cardiogenic shock because of catecholamine-induced myocardial dysfunction. We describe a rare case of Takotsubo-like cardiomyopathy as first manifestation of pheochromocytoma with an unusual onset characterized by severe hypotension and transient basal left ventricular ballooning ('inverted' Takotsubo-like cardiomyopathy).
MeSH terms
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Adrenal Gland Neoplasms / complications
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Adrenal Gland Neoplasms / diagnosis*
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Adrenal Gland Neoplasms / surgery
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Adrenal Gland Neoplasms / urine
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Adrenalectomy
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Adult
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Biomarkers / urine
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Cardiotonic Agents / therapeutic use
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Catecholamines / urine
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Echocardiography
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Electrocardiography
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Female
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Humans
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Hypotension / etiology
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Pheochromocytoma / complications
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Pheochromocytoma / diagnosis*
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Pheochromocytoma / surgery
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Pheochromocytoma / urine
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Shock, Cardiogenic / diagnosis
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Shock, Cardiogenic / drug therapy
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Shock, Cardiogenic / etiology*
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Shock, Cardiogenic / urine
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Takotsubo Cardiomyopathy / diagnosis
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Takotsubo Cardiomyopathy / drug therapy
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Takotsubo Cardiomyopathy / etiology*
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Takotsubo Cardiomyopathy / urine
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Tomography, X-Ray Computed
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Treatment Outcome
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Up-Regulation
Substances
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Biomarkers
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Cardiotonic Agents
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Catecholamines