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Insuficiencia cardíaca
On-line version ISSN 1852-3862
Abstract
AVAYU¹, Daniel H. et al. Miocardiopatía adrenérgica por discinesia apical transitoria como forma de presentación de feocromocitoma. Insuf. card. [online]. 2017, vol.12, n.3, pp.127-133. ISSN 1852-3862.
Adrenergic cardiomyopathy or tako-tsubo syndrome or transient apical dyskinesia or apical ballooning is characterized by excessive sympathetic stimulation, which induces coronary vasospasm, all of a transient nature with recovery of contractility to normality in the weeks after the event. We present the case of a 37-year-old female patient presenting with acute coronary syndrome, electrocardiograms with negative T-waves on the anterior face, elevated cardiac enzymes, severe transient apical dyskinesia, angiographically normal coronary arteries. Elevated urinary catecholamine dosage resulted in an abdominal magnetic resonance imaging that showed a left adrenal mass in the clinical setting of a pheochromocytoma.
Keywords : Tako-tsubo syndrome; Pheochromocytoma; Transient apical dyskinesia; Coronary vasospasm.