Emergency Department, University Hospital of Cattinara, Trieste, Italy.
Pathology Department, University Hospital of Cattinara, Trieste, Italy.
J Emerg Med. 2022 Jul;63(1):e1-e6. doi: 10.1016/j.jemermed.2022.04.025. Epub 2022 Aug 6.
A pheochromocytoma-induced tako-tsubo syndrome is a life-threatening complication of the rare endocrinological disease. The association between the two syndromes is known, though seldom reported in literature, but the categorization is still debated.
In this article, we provide two examples of clinical presentation of this rare condition, its diagnosis using point-of-care ultrasound, its management in the emergency department, and finally, a literature review. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: In case of a tako-tsubo syndrome-like myocardial dysfunction in a patient with unknown medical history, or recorded hypertensive or tachycardic peaks, a point-of-care ultrasound scan extended to the kidneys could help evaluate for a reversible underlying trigger cause such as pheochromocytoma.
嗜铬细胞瘤引起的 Takotsubo 综合征是罕见内分泌疾病的一种危及生命的并发症。这两种综合征之间存在关联，尽管在文献中很少有报道，但分类仍存在争议。
本文提供了这种罕见情况的两种临床表现示例，使用即时超声心动图进行诊断，在急诊科的处理方法，最后进行文献复习。
为什么急诊医生应该了解这一点？：如果患者有不明原因的 Takotsubo 综合征样心肌功能障碍，或记录到高血压或心动过速峰值，可通过即时超声心动图检查扩展到肾脏，有助于评估潜在的可逆触发原因，如嗜铬细胞瘤。
