Transient apical dyskinesia, as a presentation form of pheochromocytoma

Abstract

Takotsubo cardiomyopathy or transient apical dyskinesia is characterized by excessive sympathetic stimulation that induces coronary vasospasm, all of a transient nature with recovery of contractility to normality in the next weeks after the event. We present the case of a 37-year-old woman who presented an episode compatible with an acute coronary syndrome with a ECG with negative T-waves on the anterior wall, elevated cardiac enzymes, severe transient apical dyskinesia, and angiographically normal coronary arteries. The subsequent determination of elevated urinary catecholamines led to the request for an abdominal MRI that showed an adrenal mass in the left adrenal gland in the context of a pheochromocytoma.