J Hum Hypertens. 2010 May;24(5):363-6. doi: 10.1038/jhh.2009.115. Epub 2010 Feb 4.
We report a case of a 53-year-old hypertensive male with takotsubo cardiomyopathy in the setting of pheochromocytoma. Pheochromocytoma presenting as takotsubo cardiomyopathy is a recognized but uncommon occurrence with recently increasing number of published cases. We present typical apical ballooning syndrome, with transient left ventricular apical ballooning in contrast to several reports, in which patients with pheochromocytoma-induced cardiomyopathy had so called 'inverted'takotsubo cardiomyopathy. In patients being diagnosed with acute coronary syndrome symptoms without coronary artery stenosis or spasm, and pronounced blood pressure variability, pheochromocytoma-induced takotsubo or 'inverted' takotsubo cardiomyopathy should be kept in mind.
我们报告了一例 53 岁高血压男性患者，在嗜铬细胞瘤的情况下发生了心尖球囊样综合征（takotsubo 心肌病）。嗜铬细胞瘤引起的 takotsubo 心肌病是一种公认但不常见的疾病，最近发表的病例数量有所增加。我们呈现了典型的心尖球囊样综合征，与其他一些报告不同的是，在这些报告中，患有嗜铬细胞瘤性心肌病的患者出现了所谓的“反向”takotsubo 心肌病。在诊断为急性冠状动脉综合征症状但无冠状动脉狭窄或痉挛且血压变化明显的患者中，应考虑嗜铬细胞瘤引起的 takotsubo 或“反向”takotsubo 心肌病。
