Inverted Takotsubo contractile pattern caused by pheochromocytoma with tall upright T-waves, but not typical deep T-wave inversion

Int J Cardiol. 2010 Mar 4;139(2):e15-7. doi: 10.1016/j.ijcard.2008.06.073. Epub 2008 Aug 21.


We describe a 36-year-old woman with inverted Takotsubo cardiomyopathy caused by pheochromocytoma crisis. In the acute phase, her electrocardiogram showed ST segment depression in lead II, III, aVF and V2 through V5. On day 14, tall upright T-waves were observed in leads V2 through V5 despite heart failure and basal to midventricular ballooning improved on day 4, and all electrocardiographic abnormalities finally normalized after surgical removal of the pheochromocytomas. This is the first report of electrocardiographic course of inverted Takotsubo cardiomyopathy, and these findings seem as if the inverted electrocardiographic findings are contrary to those of apical ballooning.

Publication types

  • Case Reports
  • Letter

MeSH terms

  • Acute Disease
  • Adrenal Gland Neoplasms / complications*
  • Adrenal Gland Neoplasms / diagnostic imaging
  • Adult
  • Electrocardiography*
  • Female
  • Humans
  • Pheochromocytoma / complications*
  • Pheochromocytoma / diagnostic imaging
  • Takotsubo Cardiomyopathy / diagnosis*
  • Takotsubo Cardiomyopathy / etiology*
  • Takotsubo Cardiomyopathy / physiopathology
  • Tomography, X-Ray Computed