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KMID : 0882420120830020232
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Korean Journal of Medicine
2012 Volume.83 No. 2 p.232 ~ p.237
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A Case of Transient Ischemic Attack and Cardiomyopathy Presented with Pheochromocytoma
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Kim Woong-Jun
Kim Hae-Su
Kim Seok-Hwan
Shin Jeong-Hun
Shin Jin-Ho
Kim Jung-Hyun
Lim Young-Hyo
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Abstract
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Patients with pheochromocytoma show a variety of clinical symptoms secondary to excessive catecholamine secretion. Major symptoms include hypertension, headache, hyperhidrosis, and palpitation. Stroke and myocardial infarction are known to occur in patients with pheochromocytoma, but the incidence is low. Here, we describe a 45-year-old female with a previous history of transient ischemic attack and a clinical presentation mimicking acute myocardial infarction with transient takotsubo-like myocardial dysfunction. A subsequent diagnostic examination revealed a left adrenal pheochromocytoma. The patient recovered with intensive medical treatment, including alpha- and beta-adrenergic blockade. Follow-up echocardiography revealed normalized cardiac function and wall motion. Thereafter, the patient underwent a laparoscopic left adrenalectomy without complications.
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KEYWORD
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Cardiomyopathy, Ischemic attack, Pheochromocytoma, Transient
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