Ventricular Rhythm and Hypotension in a Patient with Pheochromocytoma-induced Myocardial Damage and Reverse Takotsubo Cardiomyopathy
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- Tagawa Minoru
- Department of Cardiology, Nagaoka Chuo General Hospital, Japan
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- Nanba Hitomi
- Department of Cardiology, Nagaoka Chuo General Hospital, Japan
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- Suzuki Hiromi
- Department of Endocrinology, Nagaoka Chuo General Hospital, Japan
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- Nakamura Yuichi
- Department of Cardiology, Nagaoka Chuo General Hospital, Japan
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- Uchiyama Hiroko
- Department of Cardiology, Nagaoka Chuo General Hospital, Japan
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- Ochiai Sachie
- Department of Cardiology, Nagaoka Chuo General Hospital, Japan
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- Terunuma Masahiro
- Department of Urology, Nagaoka Chuo General Hospital, Japan
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- Yahata Kazuaki
- Department of Endocrinology, Nagaoka Chuo General Hospital, Japan
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- Minamino Tohru
- Department of Cardiovascular Biology and Medicine, Niigata University Graduate School of Medical and Dental Sciences, Japan
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抄録
A 33-year-old woman experienced near-syncope at a hospital. Electrocardiography revealed an intermittent ventricular rhythm. The echocardiogram at admission indicated mild hypokinesis and severe diffuse hypokinesis with reverse takotsubo cardiomyopathy on the following day. The patient experienced abdominal pain on the admission day, and computed tomography identified a large left adrenal mass. Her catecholamine levels increased remarkably on the third day. The wall motion improved on the twelfth day. The tumor was successfully resected and the patient was diagnosed with an ectopic pheochromocytoma. The ventricular rhythm with myocardial damage and hypotension induced by the reverse takotsubo cardiomyopathy masked the characteristic symptoms of pheochromocytoma.<br>
収録刊行物
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- Internal Medicine
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Internal Medicine 54 (18), 2343-2349, 2015
一般社団法人 日本内科学会