KMID : 0390620140220020080
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Journal of Cardiovascular Ultrasound 2014 Volume.22 No. 2 p.80 ~ p.83
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Pheochromocytoma as a Rare Hidden Cause of Inverted Stress Cardiomyopathy
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Cho Soo-Kyung
Kim Kye-Hun Cho Jae-Yeong Yoon Hyun-Ju Park Hyung-Wook Hong Young-Joon Kim Ju-Han Ahn Young-Keun Jeong Myung-Ho Cho Jeong-Gwan Park Jong-Chun
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Abstract
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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.
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KEYWORD
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Cardiomyopathy , Stress , Pheochromocytoma
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