A peculiar etiology of acute heart failure: adrenergic myocarditis

Pheochromocytoma can occur with a variety of cardiovascular signs and symptoms, and this tumor can also precipitate an acute heart failure associated with the typical clinical and instrumental findings of myocarditis. This peculiar etiology of acute myocarditis, known as “adrenergic myocarditis,” sh...

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Bibliographic Details
Published in:The American journal of emergency medicine 2015-10, Vol.33 (10), p.1545.e3-1545.e6
Main Authors: Polito, Maria Vincenza, MD, Ravera, Amelia, MD, Silverio, Angelo, MD, Prota, Costantina, MD, Lambiase, Catello, MD, Dellegrottaglie, Santo, MD, Ascoli, Roberto, MD, Farina, Rosario, MD, Citro, Rodolfo, MD, Piscione, Federico, MD
Format: Article
Language:English
Subjects:
Adrenal Gland Neoplasms - complications
Adrenal Gland Neoplasms - diagnosis
Adrenal Gland Neoplasms - surgery
Ballooning
Cardiology
Diagnosis, Differential
Diagnostic Imaging
Edema
Emergency
Emergency medical care
Emergency Service, Hospital
Gangrene
Headaches
Heart failure
Heart Failure - etiology
Histology
Hospitalization
Humans
Hypertension
Infections
Intensive care
Male
Medical imaging
Myocarditis - etiology
Pheochromocytoma - complications
Pheochromocytoma - diagnosis
Pheochromocytoma - surgery
Respiratory distress syndrome
Urine
Ventilation
Vomiting
Young Adult
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Summary:Pheochromocytoma can occur with a variety of cardiovascular signs and symptoms, and this tumor can also precipitate an acute heart failure associated with the typical clinical and instrumental findings of myocarditis. This peculiar etiology of acute myocarditis, known as “adrenergic myocarditis,” should be suspected when specific “red flags” of pheochromocytoma such as headache, palpitations, diaphoresis, hypertension, orthostatic hypotension, and left ventricular dysfunction suggesting Takotsubo syndrome are detected. In fact, its diagnosis allows a specific targeted therapy.
ISSN:0735-6757
1532-8171
DOI:10.1016/j.ajem.2015.07.025