• J Cardiovasc Med (Hagerstown) · Jul 2010

    Case Reports

    Cardiogenic shock with basal transient left ventricular ballooning (Takotsubo-like cardiomyopathy) as first presentation of pheochromocytoma.

    • Gisella Di Palma, Gian P Daniele, Francesco Antonini-Canterin, Rita Piazza, and Gian L Nicolosi.
    • Divisione di Medicina Interna, Seconda Università degli Studi di Napoli, Napoli, Italy. giselladipalma@hotmail.it
    • J Cardiovasc Med (Hagerstown). 2010 Jul 1;11(7):507-10.

    AbstractPheochromocytoma 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).

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