Department of Cardiology, Qingdao Municipal Hospital, Qingdao, Shandong, China.
Department of Pathology, Qingdao Municipal Hospital, Qingdao, Shandong, China.
Cardiovasc J Afr. 2021;32(3):171-174. doi: 10.5830/CVJA-2020-039. Epub 2020 Oct 5.
Takotsubo syndrome (TTS), characterised by transient left ventricular systolic dysfunction, is divided into five types: (1) apical ballooning, (2) mid-ventricular, (3) basal or inverted, (4) and focal wall-motion patterns, and (5) other types, including biventricular type, isolated right ventricular and global type. The common clinical features of TTS are similar to acute coronary syndrome, which makes them indistinguishable in the early stages. TTS has a wide spectrum of emotional or physical triggers. Pheochromocytoma has been widely recognised as a distinct physical trigger of TTS. Although reports of pheochromocytoma causing TTS are not uncommon, spontaneous rupture of pheochromocytoma causing TTS is extremely rare because of the low incidence of tumour rupture. Here we report on a case of a 31-year-old man with adrenal pheochromocytoma rupture developing basal TTS.
心尖球囊样综合征（TTS）的特征为短暂性左心室收缩功能障碍，可分为五型：（1）心尖部球囊样；（2）中段；（3）基底部或倒置型；（4）局限性；（5）其他类型，包括双心室型、孤立右心室型和全心型。TTS 的常见临床特征与急性冠状动脉综合征相似，这使得它们在早期难以区分。TTS 有广泛的情绪或身体触发因素。嗜铬细胞瘤已被广泛认为是 TTS 的一个明显的身体触发因素。尽管嗜铬细胞瘤引起 TTS 的报道并不少见，但由于肿瘤破裂的发生率较低，嗜铬细胞瘤自发性破裂引起 TTS 极为罕见。本文报告了一例 31 岁男性因肾上腺嗜铬细胞瘤破裂引起基底 TTS 的病例。
