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

International Journal of Cardiology
Shinpei KimuraYoshifusa Aizawa

Abstract

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.

References

Jun 30, 2007·The American Journal of Cardiology·Wataru MitsumaYoshifusa Aizawa
Dec 3, 2008·International Journal of Cardiology·Andrew J S Coats

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Citations

Feb 6, 2013·The American Journal of Emergency Medicine·Maria Teresa CardilloLuigi M Biasucci
Feb 19, 2011·Journal of Cardiothoracic and Vascular Anesthesia·Robert J Deegan, William R Furman
Oct 10, 2013·Clinical Endocrinology·B C WhitelawS J B Aylwin
Apr 9, 2011·International Journal of Cardiology·Vikram AgarwalFranz H Messerli
Mar 2, 2017·Journal of Hypertension·Elena BerraAlexandre Persu
Nov 16, 2011·British Journal of Hospital Medicine·Caroline J MagriHerbert Felice
Apr 26, 2019·European Heart Journal. Case Reports·Roberto SpinaDavid Baron
Nov 24, 2020·Annals of Medicine and Surgery·Taweesak Wannachalee, Paweena Chunharojrith
May 11, 2021·International Journal of Surgery Case Reports·Ibtissam KissamiNabila Ismaili

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