An 83 year old woman presented to the emergency department with chest pain and dyspnoea. Chest radiography showed pneumothorax of the left lung. Arteries were normal on coronary angiography. Left ventriculography showed asynergy of apical akinesis and basal hyperkinesis. Within 18 days, the asynergy improved without any specific treatment. In the present case the left ventricular dysfunction ma...

Takotsubo cardiomyopathy can be divided in apical ballooning, mid-ventricular ballooning, and rarely in basal ballooning. The role of left anterior descending coronary artery is still in debate. Spasms, myocardial bridging and recurrent segment (wrap-around) LAD have been described in takotsubo cardiomyopathy. 8 patients (4 females, mean age 74.3 ± 9.7 years) with typical apical ballooning in 4...

We report a 65-year-old woman with isolated adrenocorticotropic hormone (ACTH) deficiency. The patient was transported to the emergency outpatient department by ambulance complaining of malaise and nausea. Because her laboratory data revealed hyponatremia, we performed endocrinological examinations and diagnosed isolated ACTH deficiency. After admission, she went into a delirious state and suff...

We describe a case of Takotsubo cardiomyopathy in an elderly woman after status epilepticus. In an emergency echocardiography, not only left ventricular apical ballooning but also right ventricular apical hypokinesia was observed. After a medical management, the patient's condition was improved and a follow-up echocardiography showed substantial recovery of left and right ventricular apical bal...

A phaeochromocytoma (PC) is a rare, catecholamine-secreting neuroendocrine tumour arising from the adrenal medulla. Presenting symptoms of this rare tumour are highly variable but life-threatening multiorgan dysfunction can occur secondary to catecholamine-induced hypertension or hypotension and subsequent cardiovascular collapse. High levels of circulating catecholamines can induce an acute st...

Zhou et al (1) reported a case of pheochromocytoma. An obese 43-year-old woman presented with clinical manifestations of ventricular tachycardia, a left ventricular thrombus and elevation of myocardial enzymes followed by embolization. Soon after admission, the patient developed ventricular tachycardia (VT) concomitant with elevated blood pressure about 200 mmHg (systolic). Amiodarone was given...

Ampulla cardiomyopathy (Takotsubo cardiomyopathy) is a syndrome, consisting of acute-onset, transient, and abnormal left ventricular wall motion with apical akinesis and basal normokinesis without any detectable coronary lesions. The syndrome has symptoms and signs that are similar to acute myocardial infarction, such as electrocardiogram (ECG) changes (ST-segment elevation and subsequent giant...

El Sindrome de Takotsubo es una disfuncion ventricular aguda reversible en ausencia obstruccion coronaria. Una mujer 85 anos edad con antecedentes reemplazo valvular aortico transcateter, ingreso por dos semanas dolor severo cadera desplazada osteosintesis fallida. Mientras se programaba para cirugia, documento hiponatremia severa secundaria a secrecion inapropiada hormona antidiuretica. Subita...

Inverted Takotsubo cardiomyopathy, a less common variant in the spectrum of stress-induced cardiomyopathy, is increasingly being reported. This report describes an acute psychiatric illness leading to the onset of this syndrome. The patient presented here developed cardiogenic shock but successfully recovered with the use of a percutaneous left ventricular assist device.