갈색세포종 환자에 병방한 스트레스에 의한 심근병증: 반전된 Takotsubo 심근병증 1예
A Case of Reversal of Takotsubo Cardiomyopathy In Patient With Pheochromocytoma
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초록
본 증례는 갈색세포종에 의해 유발된 스트레스성 심근병증이 takotsubo 심근병증의 반전 형태로 발현하였으며, 환자가보존적 치료를 받은 후 약 1일 후에 정상 심기능으로 회복된경우로 국내 최초의 갈색세포종에 의한 스트레스성 심근병증이자 반전된 takotsubo 형태를 보이는 스트레스성 심근병증에 대한 보고이다.
Abstract
‘Takotsubo cardiomyopathy’or ‘stress-induced cardiomyopathy’is a newly described clinical entity characterized by transient left ventricular apical ballooning and left ventricular apical dyskinesis in the absence of angiographic feature of significant coronary artery disease. The cause of takotsubo cardiomyopathy is unclear, but catecholamines probably play a role in the takotsubo cardiomyopathy. We report a case of pheochromocytoma-induced takotsubo cardiomyopathy that showed atypical pattern of reversed takotsubo cardiomyopathy with transient significant mitral regurgitation. This is the first case showing the reversal of takotsubo cardiomyopathy due to pheochromocytoma in Korea.
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