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Cited 21 time in webofscience Cited 22 time in scopus
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Catecholamine cardiomyopathy associated with paraganglioma rescued by percutaneous cardiopulmonary support - Inverted takotsubo contractile pattern

Authors
Kim, HS[Kim, Hyo Song]Chang, WI[Chang, Woo Ik]Kim, YC[Kim, Young Chan]Yi, SY[Yi, Seong Yoon]Kil, JS[Kil, Jae Sook]Hahn, J[Hahn, JooYong]Kang, M[Kang, Mira]Lee, MS[Lee, Myung Shik]Lee, SH[Lee, Sang Hoon]
Issue Date
Dec-2007
Publisher
JAPANESE CIRCULATION SOC
Citation
CIRCULATION JOURNAL, v.71, no.12, pp.1993 - 1995
Indexed
SCIE
SCOPUS
Journal Title
CIRCULATION JOURNAL
Volume
71
Number
12
Start Page
1993
End Page
1995
URI
https://scholarworks.bwise.kr/skku/handle/2021.sw.skku/83554
DOI
10.1253/circj.71.1993
ISSN
1346-9843
Abstract
A case of catecholamine cardiomyopathy associated with paraganglioma, which was rescued by percutaneous cardiopulmonary support system (PCPS), is presented. Unlike typical apical ballooning, transthoracic echocardiography and left ventriculography revealed severe left ventricular (LV) dysfunction and an abnormal contractile pattern, consisting of akinesis of the basal and midventricular segments and hyperkinesis of the apical segments. Because of the intractable cardiogenic shock, despite conventional treatment, PCPS was performed. The underlying disease was paraganglioma. Catecholamine excess may induce not only transient LV apical ballooning but also atypical LV ballooning without involvement of the LV apex. Early use of PCPS is important for the patient with a catecholamine crisis who is not stabilized by intra-aortic balloon pump as well as infusion of fluid and inotropic agents.
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