Published in:
01-08-2013 | Imaging in Intensive Care Medicine
Pheochromocytoma-induced takotsubo-like cardiomyopathy and global heart failure with need for extracorporal life support
Published in: Intensive Care Medicine | Issue 8/2013
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In 2011, a 43-year-old male patient had an episode of palpitations, takotsubo-like cardiomyopathy (Fig. 1), ST segment elevations in V4–V6, and increased high-sensitive troponin I together with increased creatine kinase (CK/CK-MB). After 2 months, cardiac function had recovered. One year later, the patient suffered from polymorphic ventricular tachycardia (Fig. 2), hyperglycemia, and a systolic blood pressure of 250 mmHg despite severely impaired left ventricular function revealed by echocardiography. High-sensitive troponin I and CK/CK-MB were elevated. Computed tomography revealed a tumor of the right suprarenal gland. Metanephrine plasma levels were elevated.
Fig. 1
Cine-MRI (balanced fast field echo sequence) in horizontal long axis with apical dyskinesia (asterisk) and preserved basal and mid-ventricular contractility (arrows) resulting in characteristically apical ballooning of a takotsubo-like cardiomyopathy (a during diastole, b during systole)
Fig. 2
Patient suffering from global heart failure and polymorphic ventricular tachycardia in May 2012 (ECG, 50 mm/s, 10 mm/mV)
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