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- W3100502533 abstract "Dilated cardiomyopathy can be secondary to extra-cardiac causes such as catecholamine surges. Historically, we have been taught to recognise phaeochromocytomas presenting with hypertension, headaches, palpitations and diaphoresis, despite these classic features only accounting for 25% of presentations. We discuss a rare presentation of an uncommon form of phaeochromocytoma in a 68-year-old man of Maltese heritage. He presented primarily with left ventricular (LV) dysfunction and concomitant hypotension. Our patient had partial recovery of his LV function following adrenalectomy. LV dysfunction occurs in 10% of patients with phaeochromocytoma driven by catecholamine induced vasoconstriction of small arterioles and toxic metabolites of catecholamines. We discuss the different patterns of catecholamine induced myocardial damage, and mechanisms of myocardial injury in this unusual form of phaeochromocytoma. Phaeochromocytoma accounts for 4% of adrenergic cardiomyopathy. Prognosis of adrenergic cardiomyopathy is dependent on early recognition, with 96% being reversible following resection of phaemochromocytoma. The potential for full recovery of LV function is dependent on early recognition and prompt definitive management." @default.
- W3100502533 created "2020-11-23" @default.
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- W3100502533 date "2020-01-01" @default.
- W3100502533 modified "2023-10-14" @default.
- W3100502533 title "065 A Different Type of Broken Heart?" @default.
- W3100502533 doi "https://doi.org/10.1016/j.hlc.2020.09.072" @default.
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