The Ace of Spades: Reverse Takotsubo Cardiomyopathy in the Context of Angiographic Embolization of Recurrent Metastatic Serotonin-Positive Neuroendocrine Tumour of the Pancreas
A 62-year-old woman undergoing embolization of recurrent neuroendocrine tumor, positive for serotonin, developed chest pain and bradycardia with lateral ST-segment depression. Cardiac biomarkers were elevated, and echocardiography revealed akinesis of all basal segments with a normally contracting a...
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Wiley
2013-01-01
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Series: | Case Reports in Medicine |
Online Access: | http://dx.doi.org/10.1155/2013/793193 |
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author | Ian A. Mazzetti Michael J. Marcaccio Odette Boutross-Tadross Omid Salehian Catherine Demers |
author_facet | Ian A. Mazzetti Michael J. Marcaccio Odette Boutross-Tadross Omid Salehian Catherine Demers |
author_sort | Ian A. Mazzetti |
collection | DOAJ |
description | A 62-year-old woman undergoing embolization of recurrent neuroendocrine tumor, positive for serotonin, developed chest pain and bradycardia with lateral ST-segment depression. Cardiac biomarkers were elevated, and echocardiography revealed akinesis of all basal segments with a normally contracting apex. The absence of flow-limiting coronary disease on angiography confirmed the presence of reverse Takotsubo cardiomyopathy. After optimal medical therapy for six weeks, left ventricular function returned to normal. Takotsubo cardiomyopathy has been described across a wide variety of hyperadrenergic states; the description of the reverse-type Takotsubo cardiomyopathy in the setting of embolization of recurrent neuroendocrine with serotonergic positivity tumour is novel. |
format | Article |
id | doaj-art-855cf6a2539d44779d06428da886326d |
institution | Kabale University |
issn | 1687-9627 1687-9635 |
language | English |
publishDate | 2013-01-01 |
publisher | Wiley |
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series | Case Reports in Medicine |
spelling | doaj-art-855cf6a2539d44779d06428da886326d2025-02-03T06:07:03ZengWileyCase Reports in Medicine1687-96271687-96352013-01-01201310.1155/2013/793193793193The Ace of Spades: Reverse Takotsubo Cardiomyopathy in the Context of Angiographic Embolization of Recurrent Metastatic Serotonin-Positive Neuroendocrine Tumour of the PancreasIan A. Mazzetti0Michael J. Marcaccio1Odette Boutross-Tadross2Omid Salehian3Catherine Demers4McMaster University, 1280 Main Street West, Hamilton, ON, L8S 4K1, CanadaDepartment of Surgery, McMaster University, 1280 Main Street West, Hamilton, ON, L8S 4K1, CanadaDepartment of Pathology and Molecular Medicine, McMaster University, 1280 Main Street West, Hamilton, ON, L8S 4K1, CanadaDivision of Cardiology, McMaster University, 1280 Main Street West, Hamilton, ON, L8S 4K1, CanadaDivision of Cardiology, McMaster University, 1280 Main Street West, Hamilton, ON, L8S 4K1, CanadaA 62-year-old woman undergoing embolization of recurrent neuroendocrine tumor, positive for serotonin, developed chest pain and bradycardia with lateral ST-segment depression. Cardiac biomarkers were elevated, and echocardiography revealed akinesis of all basal segments with a normally contracting apex. The absence of flow-limiting coronary disease on angiography confirmed the presence of reverse Takotsubo cardiomyopathy. After optimal medical therapy for six weeks, left ventricular function returned to normal. Takotsubo cardiomyopathy has been described across a wide variety of hyperadrenergic states; the description of the reverse-type Takotsubo cardiomyopathy in the setting of embolization of recurrent neuroendocrine with serotonergic positivity tumour is novel.http://dx.doi.org/10.1155/2013/793193 |
spellingShingle | Ian A. Mazzetti Michael J. Marcaccio Odette Boutross-Tadross Omid Salehian Catherine Demers The Ace of Spades: Reverse Takotsubo Cardiomyopathy in the Context of Angiographic Embolization of Recurrent Metastatic Serotonin-Positive Neuroendocrine Tumour of the Pancreas Case Reports in Medicine |
title | The Ace of Spades: Reverse Takotsubo Cardiomyopathy in the Context of Angiographic Embolization of Recurrent Metastatic Serotonin-Positive Neuroendocrine Tumour of the Pancreas |
title_full | The Ace of Spades: Reverse Takotsubo Cardiomyopathy in the Context of Angiographic Embolization of Recurrent Metastatic Serotonin-Positive Neuroendocrine Tumour of the Pancreas |
title_fullStr | The Ace of Spades: Reverse Takotsubo Cardiomyopathy in the Context of Angiographic Embolization of Recurrent Metastatic Serotonin-Positive Neuroendocrine Tumour of the Pancreas |
title_full_unstemmed | The Ace of Spades: Reverse Takotsubo Cardiomyopathy in the Context of Angiographic Embolization of Recurrent Metastatic Serotonin-Positive Neuroendocrine Tumour of the Pancreas |
title_short | The Ace of Spades: Reverse Takotsubo Cardiomyopathy in the Context of Angiographic Embolization of Recurrent Metastatic Serotonin-Positive Neuroendocrine Tumour of the Pancreas |
title_sort | ace of spades reverse takotsubo cardiomyopathy in the context of angiographic embolization of recurrent metastatic serotonin positive neuroendocrine tumour of the pancreas |
url | http://dx.doi.org/10.1155/2013/793193 |
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